Other abnormal findings in specimens from female genital organs
ICD-10 R87.89 is a billable code used to indicate a diagnosis of other abnormal findings in specimens from female genital organs.
The ICD-10 code R87.89 is used to classify abnormal findings in specimens obtained from female genital organs that do not fall under more specific categories. This may include atypical cells found in Pap smears, abnormal histological findings from biopsies, or unusual results from cultures taken from the vagina or cervix. Such findings can indicate a range of conditions, from benign lesions to precancerous changes or infections. The clinical context is crucial, as these findings often require further investigation to determine their significance. For instance, atypical squamous cells of undetermined significance (ASC-US) in a Pap test may necessitate additional testing or monitoring. The code is essential for capturing the nuances of female reproductive health and ensuring appropriate follow-up care.
Documentation should include detailed descriptions of the findings, any relevant patient history, and plans for follow-up or further testing.
Internal medicine providers may encounter abnormal Pap results during routine screenings, necessitating further evaluation.
Ensure that any abnormal findings are clearly linked to the patient's clinical history and that follow-up actions are documented.
Acute care documentation must include the reason for specimen collection, findings, and immediate management plans.
Patients presenting with acute pelvic pain may have specimens collected for urgent evaluation of potential infections or other abnormalities.
In emergency settings, rapid documentation of findings and immediate follow-up actions are critical for patient safety.
Used when a Pap smear is performed and results indicate abnormal findings.
Documentation must include the type of specimen and findings.
Ensure that the procedure is linked to the diagnosis of abnormal findings.
R87.89 can be used for a variety of abnormal findings in specimens from female genital organs, including atypical cells from Pap smears, abnormal biopsy results, and unusual culture findings that do not fit into more specific categories.
