Abnormal cytological findings in specimens from other female genital organs
ICD-10 R87.69 is a billable code used to indicate a diagnosis of abnormal cytological findings in specimens from other female genital organs.
R87.69 is used to classify abnormal cytological findings in specimens obtained from female genital organs other than the cervix and uterus. This code encompasses a range of abnormal findings that may arise from various conditions affecting the ovaries, fallopian tubes, vulva, and vagina. Common cytological abnormalities may include atypical squamous cells, glandular cells, or other cellular changes indicative of infection, inflammation, or neoplastic processes. These findings are often identified through Pap smears, biopsies, or other cytological examinations. The clinical significance of these findings can vary widely, necessitating further diagnostic evaluation to determine the underlying cause, which may include infections (e.g., HPV, candidiasis), benign lesions (e.g., cysts, fibromas), or malignancies. Accurate coding of R87.69 requires thorough documentation of the cytological findings and any associated clinical symptoms, as well as the context in which the specimens were collected.
Detailed documentation of cytological findings, patient history, and any relevant symptoms.
Routine screening for cervical cancer, follow-up on abnormal Pap results, evaluation of pelvic pain.
Ensure that all findings are clearly linked to the diagnosis and that any follow-up actions are documented.
Acute care documentation including reason for specimen collection and any immediate findings.
Acute presentations of pelvic pain, abnormal bleeding, or suspected infections.
Document the urgency of the situation and any immediate interventions performed.
Used when performing a Pap smear with abnormal findings.
Document the reason for the Pap smear and any abnormal findings.
Ensure that the procedure is linked to the diagnosis of abnormal cytological findings.
R87.69 includes abnormal cytological findings from female genital organs other than the cervix and uterus, such as atypical cells from the ovaries, fallopian tubes, vulva, or vagina.
Document the specific cytological findings, the site of specimen collection, and any relevant clinical symptoms or history to support the diagnosis.
