{"code":"R87.621","type":"code","title":"Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)","codeAlso":[],"includes":["abnormal findings in secretion and smears from cervix uteri","abnormal findings in secretion and smears from vagina","abnormal findings in secretion and smears from vulva"],"modern_v":"official26","codeFirst":[],"excludes1":["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)","abnormal findings on antenatal screening of mother (O28.-)","diagnostic abnormal findings classified elsewhere - see Alphabetical Index"],"excludes2":["vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811)","vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821)","abnormal findings on examination of blood, without diagnosis (R70-R79)","abnormal findings on examination of urine, without diagnosis (R80-R82)","abnormal tumor markers (R97.-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":["code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)"],"clinicalDefinition":"Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) is a billable ICD-10-CM diagnosis code (R87.621). Includes: abnormal findings in secretion and smears from cervix uteri; abnormal findings in secretion and smears from vagina; abnormal findings in secretion and smears from vulva. Excludes1 (not coded here): abnormal cytological findings in specimens from cervix uteri (R87.","officialDefinition":"Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) is a billable ICD-10-CM diagnosis code (R87.621). Includes: abnormal findings in secretion and smears from cervix uteri; abnormal findings in secretion and smears from vagina; abnormal findings in secretion and smears from vulva. Excludes1 (not coded here): 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); abnormal findings on antenatal screening of mother (O28.-); diagnostic abnormal findings classified elsewhere - see Alphabetical Index. Excludes2 (not included here): vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811); vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821); abnormal findings on examination of blood, without diagnosis (R70-R79); abnormal findings on examination of urine, without diagnosis (R80-R82); abnormal tumor markers (R97.-). Use additional code: code to identify acquired absence of uterus and cervix, if applicable (Z90.71-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}