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v1.0.0
ICD-10 Guide
ICD-10 CodesN87.0

N87.0

Billable

Mild cervical dysplasia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N87.0 is a billable code used to indicate a diagnosis of mild cervical dysplasia.

Key Diagnostic Point:

Mild cervical dysplasia, classified under ICD-10 code N87.0, refers to the presence of abnormal cells on the surface of the cervix that are not cancerous but indicate a potential for future changes. This condition is often detected through routine Pap smears, which may reveal atypical squamous cells. Mild dysplasia is typically categorized as CIN 1 (cervical intraepithelial neoplasia grade 1), indicating that the abnormal cells are confined to the lower third of the epithelial layer of the cervix. While mild dysplasia may resolve spontaneously without treatment, it necessitates careful monitoring due to the risk of progression to more severe dysplasia or cervical cancer. Risk factors include human papillomavirus (HPV) infection, smoking, and a weakened immune system. Management may involve repeat Pap testing, HPV testing, or colposcopy for further evaluation. Education on preventive measures, such as HPV vaccination and regular screenings, is crucial for patients diagnosed with mild cervical dysplasia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between mild, moderate, and severe dysplasia
  • Need for accurate documentation of biopsy results
  • Variability in follow-up protocols based on patient history
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of follow-up care
  • Misclassification of dysplasia severity
  • Failure to document HPV status
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed documentation of Pap smear results, HPV status, and follow-up plans.

Common Clinical Scenarios

Routine screening, abnormal Pap results, and management of dysplasia.

Billing Considerations

Ensure accurate coding of severity and follow-up procedures.

Pathology

Documentation Requirements

Clear reporting of biopsy findings and histological grading.

Common Clinical Scenarios

Biopsy interpretation and reporting of cervical tissue samples.

Billing Considerations

Pathology reports must correlate with clinical findings for accurate coding.

Coding Guidelines

Inclusion Criteria

Use N87.0 When
  • According to official coding guidelines, N87
  • 0 should be used when mild dysplasia is confirmed through histological examination
  • It is important to document the results of Pap tests and any follow
  • up procedures

Exclusion Criteria

Do NOT use N87.0 When
  • Exclusions include cases where dysplasia is not confirmed or where there is a diagnosis of cervical cancer

Related ICD-10 Codes

Related CPT Codes

88141CPT Code

Cytopathology, cervical or vaginal (Pap smear)

Clinical Scenario

Used during routine screening for cervical dysplasia.

Documentation Requirements

Document the date of the Pap smear and results.

Specialty Considerations

Gynecologists must ensure accurate coding based on findings.

57460CPT Code

Colposcopy of cervix

Clinical Scenario

Performed when mild dysplasia is detected to evaluate further.

Documentation Requirements

Document indications for colposcopy and findings.

Specialty Considerations

Pathologists must correlate findings with clinical history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical dysplasia, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical dysplasia, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical dysplasia, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)
  • •
    Centers for Disease Control and Prevention (CDC) - HPV and Cervical Cancer

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)
  • •
    Centers for Disease Control and Prevention (CDC) - HPV and Cervical Cancer

Frequently Asked Questions

What is the significance of mild cervical dysplasia?

Mild cervical dysplasia indicates abnormal cell changes that may resolve on their own but require monitoring due to the potential risk of progression to more severe dysplasia or cervical cancer.

How often should follow-up Pap smears be done for mild dysplasia?

Follow-up Pap smears are typically recommended every 6 to 12 months, depending on the patient's history and risk factors.