R87 ICD-10-CM Code: Abnormal findings in specimens from female genital organs
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 3 inclusion terms · 2 Excludes1 · 3 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for R87 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on R87 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- abnormal findings on antenatal screening of mother (O28.-) Compare R87 vs O28 →
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Source: inherited from R83-R89
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- abnormal findings on examination of blood, without diagnosis (R70-R79) Compare R87 vs R70 →
- abnormal findings on examination of urine, without diagnosis (R80-R82) Compare R87 vs R80 →
- abnormal tumor markers (R97.-) Compare R87 vs R97 →
Source: inherited from R83-R89
Coder workflow for R87
MedCoder structured workflow — derived from this code’s own official record
Before you code R87
- R87 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewR87.0, R87.1, R87.2, R87.3, R87.4, R87.5, R87.6, R87.7, R87.8, R87.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check whether an established diagnosis that explains this sign or symptom is documented. If one is, review whether the documented diagnosis changes the coding pathway: a symptom that is integral to a confirmed diagnosis is not reported separately, while one not routinely associated with it may be. Signs and symptoms are reported when no definitive diagnosis is established (Guidelines I.B.4, I.B.5, I.B.6, I.C.18.b).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with R87. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath R87?
Yes → Select that code and continue the checks below on its own page.
No → R87 cannot be reported as written; query for the specificity its subcategory needs.ReviewR87.0, R87.1, R87.2, R87.3, R87.4, R87.5, R87.6, R87.7, R87.8, R87.9
- Is an established diagnosis that explains this sign or symptom documented?
Yes → Review whether the documented diagnosis changes the coding pathway: a symptom integral to it is not reported separately.
No → Continue — the sign or symptom code stands when no definitive diagnosis is established. - Does the documentation support a condition named in R87’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewO28
Consider R87. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting R87(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with R87: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareO28
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of R87(3 notes)
Coding workflow: The conditions named in this note are not included in R87. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareR97
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The sign or symptom is documented, and the same record establishes a diagnosis that routinely includes it.
Coding question: Is R87 reported in addition to the diagnosis?
Path: Review the documented diagnosis and whether the classification treats this finding as integral to it.
Reason: Signs and symptoms integral to a confirmed diagnosis are not coded separately; those not routinely associated with it may be reported when present (Guidelines I.B.5, I.B.6, I.C.18.b).
Documentation: Both the condition R87 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewO28
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Contextual Map
Every relationship of R87 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run R87 with these 9 related codes in Claim Check
Hierarchy
- R00-R99 — Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) (R00-R99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R83-R89 — Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- O28 — Abnormal findings on antenatal screening of mother[Excludes1]: “abnormal findings on antenatal screening of mother (O28.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Excludes2 (13)
- R70 — Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R71 — Abnormality of red blood cells[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R73 — Elevated blood glucose level[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R74 — Abnormal serum enzyme levels[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV][Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R76 — Other abnormal immunological findings in serum[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R77 — Other abnormalities of plasma proteins[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R78 — Findings of drugs and other substances, not normally found in blood[Excludes2]: “abnormal findings on examination of blood, without diagnosis (R70-R79)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 5 more
Nearest codes (37)
- R87.0 — Abnormal level of enzymes in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.1 — Abnormal level of hormones in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.2 — Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.3 — Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.4 — Abnormal immunological findings in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.5 — Abnormal microbiological findings in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.6 — Abnormal cytological findings in specimens from female genital organs[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- R87.61 — Abnormal cytological findings in specimens from cervix uteri[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 29 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can R87 be billed directly?
No. R87 (Abnormal findings in specimens from female genital organs) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "R87 — Abnormal findings in specimens from female genital organs." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/r87-abnormal-findings-in-specimens-from-female-genital-organs
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAbnormal findings in specimens from female genital organs
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to R87 in its code family, with their registry titles.
- R87.0 — Abnormal level of enzymes in specimens from female genital organs
- R87.1 — Abnormal level of hormones in specimens from female genital organs
- R87.2 — Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
- R87.3 — Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
- R87.4 — Abnormal immunological findings in specimens from female genital organs
- R87.5 — Abnormal microbiological findings in specimens from female genital organs
- R87.6 — Abnormal cytological findings in specimens from female genital organs
- R87.61 — Abnormal cytological findings in specimens from cervix uteri
- R87.610 — Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)
- R87.611 — Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
- R87.612 — Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)
- R87.613 — High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
- R87.614 — Cytologic evidence of malignancy on smear of cervix
- R87.615 — Unsatisfactory cytologic smear of cervix
- R87.616 — Satisfactory cervical smear but lacking transformation zone
- R87.618 — Other abnormal cytological findings on specimens from cervix uteri
- R87.619 — Unspecified abnormal cytological findings in specimens from cervix uteri
- R87.62 — Abnormal cytological findings in specimens from vagina
- R87.620 — Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
- R87.621 — Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
- R87.622 — Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
- R87.623 — High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
- R87.624 — Cytologic evidence of malignancy on smear of vagina
- R87.625 — Unsatisfactory cytologic smear of vagina
- R87.628 — Other abnormal cytological findings on specimens from vagina
- R87.629 — Unspecified abnormal cytological findings in specimens from vagina
- R87.69 — Abnormal cytological findings in specimens from other female genital organs
- R87.7 — Abnormal histological findings in specimens from female genital organs
- R87.8 — Other abnormal findings in specimens from female genital organs
- R87.81 — High risk human papillomavirus (HPV) DNA test positive from female genital organs
- R87.810 — Cervical high risk human papillomavirus (HPV) DNA test positive
- R87.811 — Vaginal high risk human papillomavirus (HPV) DNA test positive
- R87.82 — Low risk human papillomavirus (HPV) DNA test positive from female genital organs
- R87.820 — Cervical low risk human papillomavirus (HPV) DNA test positive
- R87.821 — Vaginal low risk human papillomavirus (HPV) DNA test positive
- R87.89 — Other abnormal findings in specimens from female genital organs
- R87.9 — Unspecified abnormal finding in specimens from female genital organs