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Compare/D06 vs R87.613

D06 vs R87.613

D06 (Carcinoma in situ of cervix uteri) compared with R87.613 (High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. D06 carries an Excludes1 note covering R87.613: “high grade squamous intraepithelial lesion (HGSIL) of cervix (R87.613)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R87.613 carries an Excludes1 note covering D06: “carcinoma in situ of cervix uteri (histologically confirmed) (D06.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R87.613 carries an Excludes1 note covering D06: “cervical intraepithelial neoplasia III [CIN III] (D06.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R87.613 carries an Excludes1 note covering D06: “severe dysplasia of cervix uteri (histologically confirmed) (D06.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

D06Carcinoma in situ of cervix uteriR87.613High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
Billing statusNon-billable header

Report instead: D06.0, D06.1, D06.7, D06.9

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionCarcinoma in situ of cervix uteri is a non-billable ICD-10-CM category code (D06).High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL) is a billable ICD-10-CM diagnosis code (R87.613).
Includes
cervical adenocarcinoma in situ
cervical intraepithelial glandular neoplasia
cervical intraepithelial neoplasia III [CIN III]
severe dysplasia of cervix uteri
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources