R85.616 — Satisfactory anal smear but lacking transformation zone
Is R85.616 billable?
Yes — R85.616 is billable for FY2027. R85.616 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R85.616 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R85.616 at a glance
| Code | R85.616 |
|---|---|
| Description | Satisfactory anal smear but lacking transformation zone |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R85.616 group to?
R85.616 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 393Other Digestive System Diagnoses with MCCmedical
- 394Other Digestive System Diagnoses with CCmedical
- 395Other Digestive System Diagnoses without CC/MCCmedical
How is R85.616 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R85.616. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Abnormal, abnormality, abnormalities › cytology › anus › satisfactory anal smear but lacking transformation zone
- Abnormal, abnormality, abnormalities › Papanicolaou › anus › satisfactory anal smear but lacking transformation zone
Excludes1 — never code together — inherited from R83-R89
The conditions below can never be reported together with R85.616 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- abnormal findings on antenatal screening of mother (O28.-)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Excludes1 — never code together — inherited from R85
The conditions below can never be reported together with R85.616 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from R85.61
The conditions below can never be reported together with R85.616 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- abnormal cytological findings in specimens from other digestive organs and abdominal cavity (R85.69)
- carcinoma in situ of anus (histologically confirmed) (D01.3)
- anal intraepithelial neoplasia I [AIN I] (K62.82)
- anal intraepithelial neoplasia II [AIN II] (K62.82)
- anal intraepithelial neoplasia III [AIN III] (D01.3)
- dysplasia (mild) (moderate) of anus (histologically confirmed) (K62.82)
- severe dysplasia of anus (histologically confirmed) (D01.3)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R85.616, but a patient may have both at the same time. When documentation supports it, R85.616 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R83-R89
The conditions below are not part of R85.616, but a patient may have both at the same time. When documentation supports it, R85.616 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R85.61
The conditions below are not part of R85.616, but a patient may have both at the same time. When documentation supports it, R85.616 and the excluded code may both be reported.
How long has R85.616 existed?
R85.616 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the R85.61 family? (8)
- R85.610Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
- R85.611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
- R85.612Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
- R85.613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
- R85.614Cytologic evidence of malignancy on smear of anus
- R85.615Unsatisfactory cytologic smear of anus
- R85.618Other abnormal cytological findings on specimens from anus
- R85.619Unspecified abnormal cytological findings in specimens from anus