R87.621 — Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
Is R87.621 billable?
Yes — R87.621 is billable for FY2027. R87.621 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R87.621 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R87.621 at a glance
| Code | R87.621 |
|---|---|
| Description | Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R87.621 group to?
R87.621 sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
- 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical
How is R87.621 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R87.621. They show the wording a clinician may have documented, which often differs from the Tabular description.
- ASC-H › vagina (atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear)
- Abnormal, abnormality, abnormalities › Papanicolaou › vagina › atypical squamous cells cannot exclude high grade squamous intraepithelial lesion
Excludes1 — never code together — inherited from R83-R89
The conditions below can never be reported together with R87.621 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 R87.62
The conditions below can never be reported together with R87.621 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 cervix uteri (R87.61-)
- abnormal cytological findings in specimens from other female genital organs (R87.69)
- carcinoma in situ of vagina (histologically confirmed) (D07.2)
- vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
- vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
- vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
- dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
- severe dysplasia of vagina (histologically confirmed) (D07.2)
Use additional code — inherited from R87.62
Report an additional code alongside R87.621 to fully describe the condition. R87.621 is sequenced first.
- code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R87.621, but a patient may have both at the same time. When documentation supports it, R87.621 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R83-R89
The conditions below are not part of R87.621, but a patient may have both at the same time. When documentation supports it, R87.621 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R87.62
The conditions below are not part of R87.621, but a patient may have both at the same time. When documentation supports it, R87.621 and the excluded code may both be reported.
How long has R87.621 existed?
R87.621 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 R87.62 family? (7)
- R87.620Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
- R87.622Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
- R87.623High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
- R87.624Cytologic evidence of malignancy on smear of vagina
- R87.625Unsatisfactory cytologic smear of vagina
- R87.628Other abnormal cytological findings on specimens from vagina
- R87.629Unspecified abnormal cytological findings in specimens from vagina