Cytologic evidence of malignancy on smear of anus
ICD-10 R85.614 is a billable code used to indicate a diagnosis of cytologic evidence of malignancy on smear of anus.
Cytologic evidence of malignancy on smear of anus refers to the detection of cancerous cells in a sample obtained from the anal region. This finding is typically identified through a Pap smear or similar cytological examination, which is performed to screen for anal cancer or precancerous conditions. Symptoms may include anal bleeding, pain, or changes in bowel habits, although some patients may be asymptomatic. The presence of malignant cells indicates a need for further diagnostic evaluation, which may include imaging studies or biopsy to confirm the diagnosis and assess the extent of the disease. Common causes of this finding include human papillomavirus (HPV) infection, which is a significant risk factor for anal cancer, as well as other factors such as immunosuppression, smoking, and a history of anal or cervical dysplasia. Early detection is crucial for effective management and treatment of anal malignancies.
Complete patient history, including risk factors for anal cancer, and detailed findings from cytological examinations.
Patients presenting with anal bleeding or discomfort, requiring screening for malignancy.
Consideration of patient history, including HPV vaccination status and previous anal or cervical dysplasia.
Acute care notes detailing presenting symptoms, initial findings, and any immediate interventions.
Patients with acute anal pain or bleeding presenting to the emergency department.
Rapid assessment and documentation of symptoms to ensure appropriate follow-up and referrals.
Used when performing cytology on anal smears.
Documentation of the specimen collection method and cytological findings.
Ensure that the procedure is performed by qualified personnel and that results are communicated effectively.
Cytologic evidence of malignancy indicates the presence of cancerous cells in the anal region, necessitating further diagnostic evaluation and potential treatment. It is crucial for early detection and management of anal cancer.
