Atyp squam cell not excl hi grd intrepith lesn cyto smr vagn

Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)

📋Clinical Description

This code indicates an abnormal finding from a vaginal cytology smear, specifically atypical squamous cells where a high-grade squamous intraepithelial lesion (HSIL) cannot be ruled out. It signifies a significant level of cellular abnormality that warrants further investigation to determine the presence and extent of precancerous changes.

🎯When to Use

Use this code when a pathology report for a vaginal Papanicolaou (Pap) smear or liquid-based cytology explicitly states "Atypical Squamous Cells, Cannot Exclude HSIL (ASC-H)." This finding typically prompts a recommendation for colposcopy and biopsy to definitively diagnose or rule out HSIL.

💡Coding Tips

Ensure the documentation specifies "vagina" as the source of the smear; cervical ASC-H uses a different code.
This is a definitive diagnostic finding, not a symptom.
Do not confuse with less severe atypical findings like ASC-US (atypical squamous cells of undetermined significance).

AI-generated reference — verify against official guidelines

Code Hierarchy

▲R87.62Abnormal cytological findings in specimens from vagina

R87.621(current)

Crosswalks

795.12ExactICD-9 795.12ExactICD-9

Same Category

R87Abnormal findings in specimens from female genital organs R87.0Abn lev enzymes in specimens from female genital organs R87.1Abn lev hormones in specimens from female genital organs R87.2