Abnormal cytological findings in specimens from vagina
ICD-10 R87.62 is a billable code used to indicate a diagnosis of abnormal cytological findings in specimens from vagina.
R87.62 refers to abnormal cytological findings in specimens obtained from the vagina, typically identified through Pap smears or other cytological examinations. These findings may indicate the presence of atypical cells, which can be benign or suggestive of precancerous changes or malignancy. Common symptoms associated with abnormal findings may include unusual vaginal discharge, bleeding, or discomfort. The clinical context often involves screening for cervical cancer or monitoring known lesions. Abnormal cytological results necessitate further diagnostic evaluation, including colposcopy and biopsy, to determine the underlying cause and appropriate management. The findings can be due to various factors, including infections (e.g., HPV), inflammation, or neoplastic changes. Accurate coding is essential for proper patient management and tracking of public health data related to cervical health.
Detailed documentation of symptoms, cytological findings, and follow-up plans is essential.
Routine screening results showing atypical squamous cells.
Consideration of patient history, including previous abnormal results and HPV vaccination status.
Acute care documentation should include presenting symptoms and any immediate interventions.
Patients presenting with abnormal vaginal bleeding or discharge.
Rapid assessment and documentation of any acute complications related to abnormal findings.
Used when performing a Pap smear that results in abnormal findings.
Document the type of specimen, findings, and any follow-up recommendations.
Ensure that the procedure is linked to the diagnosis of abnormal cytological findings.
Document the specific cytological findings, any symptoms the patient presents with, and the follow-up plan, including any procedures scheduled.
