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    OpenPayerBilling CodesAbnormal findings on examination of other body fluids, substances and tissues, without diagnosisICD-10-CM r87-abnormal-findings-female-genital
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    ICD-10-CM Code For Abnormal Findings In Specimens From Female Genital Organs: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group R87 includes abnormal cytologic and histologic findings from specimens of the female genital tract, covering atypical cells, dysplasia, and other unspecified abnormal results that are not associated with a confirmed diagnosis. These ICD-10-CM diagnosis codes are used to document findings from laboratory or pathology evaluations, capturing the presence and severity of abnormal cellular or tissue changes in the cervix, vagina, or vulva. Accurate coding within the ICD-10-CM R87 group supports proper claim adjudication and complete clinical documentation for services related to specimen analysis.

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    ICD-10-CM R87: Abnormal Findings In Specimens From Female Genital Organs Overview

    This group represents abnormal cytologic and histologic findings identified in specimens from female genital organs, such as cervix, vagina, and vulva. The codes capture findings without an established definitive diagnosis and target the female reproductive tract. Accurate coding matters for correct clinical documentation and supports appropriate reimbursement for services related to specimen evaluation.

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    When to Use

    Use a code from this group when laboratory or pathology reports document abnormal cellular or tissue findings from female genital specimens without a confirmed diagnosis. These codes are applied for documentation and billing of specimen analysis, follow-up evaluation, or monitoring when the abnormality is reported but not yet diagnosed.

    ICD-10-CM Codes

    31 rows

    ICD-10-CM CodeDescription
    R87.0Abnormal level of enzymes in specimens from female genital organs
    R87.1Abnormal level of hormones in specimens from female genital organs
    R87.2Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
    R87.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
    R87.4Abnormal immunological findings in specimens from female genital organs
    R87.5Abnormal microbiological findings in specimens from female genital organs
    R87.610Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)
    R87.611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
    R87.612Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)
    R87.613High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
    R87.614Cytologic evidence of malignancy on smear of cervix
    R87.615Unsatisfactory cytologic smear of cervix
    R87.616Satisfactory cervical smear but lacking transformation zone
    R87.618Other abnormal cytological findings on specimens from cervix uteri
    R87.619Unspecified abnormal cytological findings in specimens from cervix uteri
    R87.620Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
    R87.621Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
    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

    Showing 1–20 of 31

    DRG Codes

    7 rows

    DRG CodeDescription
    742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
    743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
    760Menstrual and Other Female Reproductive System Disorders with CC/MCC
    761Menstrual and Other Female Reproductive System Disorders without CC/MCC
    795Normal Newborn
    947Signs and Symptoms with MCC
    948Signs and Symptoms without MCC

    Typical Clinical Scenarios

    • A 28-year-old sexually active woman presents to the gynecology clinic after an abnormal Pap smear screening showing atypical squamous cells of undetermined significance (ASC-US). She is otherwise asymptomatic and undergoes repeat cervical cytology and high-risk HPV testing; the encounter documents an abnormal cervical cytology/specimen result without a confirmed diagnosis of neoplasia, prompting assignment of a code from this group. Typical codes: R87.610, R87.611.
    • A 45-year-old woman with a history of abnormal vaginal bleeding is evaluated in the outpatient setting; endometrial biopsy is performed and histology returns with atypical glandular cells or abnormal endometrial cells but no definitive malignancy. Because the pathology report documents abnormal findings in tissue from the female genital tract without a final tissue diagnosis of cancer, a code from this group is used to capture the abnormal specimen result. Typical codes: R87.2, R87.3.
    • An emergent presentation of a 52-year-old postmenopausal woman with new-onset vaginal bleeding undergoes urgent cervical and endometrial sampling; cytology and biopsy reports show suspicious or abnormal cells pending further workup to rule out malignancy. The encounter is coded to reflect abnormal findings on examination of genital specimens as a complication/comorbidity that requires expedited diagnostic follow-up. Typical codes: R87.619, R87.69.

    Related Codes

    R83-ABNORMAL-FINDINGS-CEREBROSPINAL-FLUID

    ICD-10-CM Code For Abnormal Findings In Cerebrospinal Fluid: Group Overview

    R84-ABNORMAL-RESPIRATORY-SPECIMEN-FINDINGS

    ICD-10-CM Code For Abnormal Findings In Specimens From Respiratory Organs And Thorax: Group Overview

    R85-ABNORMAL-FINDINGS-DIGESTIVE-ORGANS

    ICD-10-CM Code For Abnormal Findings In Specimens From Digestive Organs And Abdominal Cavity: Group Overview

    R86-ABNORMAL-FINDINGS-MALE-GENITAL-ORGANS

    ICD-10-CM Code For Abnormal Findings In Specimens From Male Genital Organs: Group Overview

    R88-ABNORMAL-FINDINGS-IN-BODY-FLUIDS

    ICD-10-CM Code For Abnormal Findings In Other Body Fluids And Substances: Group Overview

    R89-ABNORMAL-FINDINGS-IN-SPECIMENS

    ICD-10-CM Code For Abnormal Findings In Specimens From Other Organs Systems And Tissues: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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