Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
ICD-10 R87.611 is a billable code used to indicate a diagnosis of atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (asc-h).
R87.611 refers to a specific finding on a cervical cytology smear indicating the presence of atypical squamous cells that cannot definitively rule out a high-grade squamous intraepithelial lesion (HSIL). This finding is significant as it suggests a potential precursor to cervical cancer, necessitating further evaluation. ASC-H is a critical category in cervical cancer screening, as it indicates that while the cells are atypical, they may represent a high-grade lesion that requires additional diagnostic procedures, such as colposcopy and biopsy. The identification of ASC-H on a cytology report prompts healthcare providers to closely monitor the patient, as early detection and intervention can significantly improve outcomes. The clinical context surrounding ASC-H includes risk factors such as HPV infection, smoking, and immunosuppression, which can contribute to the development of cervical dysplasia. Accurate coding of this finding is essential for appropriate patient management and follow-up care.
Documentation must include the cytology report, follow-up plans, and any additional diagnostic tests ordered.
Routine screening in women with abnormal Pap smears.
Consideration of patient history, including HPV vaccination status and previous cervical pathology.
Acute care documentation should include the reason for cytology testing and any immediate interventions taken.
Patients presenting with abnormal bleeding or pelvic pain.
Rapid assessment and referral for follow-up care are crucial.
Used for routine cervical screening that may yield ASC-H results.
Documentation of the cytology report and any follow-up recommendations.
Ensure that the procedure is linked to the diagnosis of ASC-H.
ASC-H stands for atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion, indicating that the cells are abnormal and may represent a significant risk for cervical cancer.
