Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
ICD-10 R87.620 is a billable code used to indicate a diagnosis of atypical squamous cells of undetermined significance on cytologic smear of vagina (asc-us).
Atypical squamous cells of undetermined significance (ASC-US) on a cytologic smear of the vagina indicate the presence of abnormal squamous cells that do not clearly fit into the categories of benign or malignant. This finding is often a result of various factors, including hormonal changes, infections, or inflammation. ASC-US is a common result in cervical cytology screening and typically requires further evaluation to rule out significant pathology, such as cervical intraepithelial neoplasia (CIN). The clinical significance of ASC-US is that it may represent an early sign of potential cervical cancer, necessitating follow-up testing, such as HPV testing or a colposcopy. The management of ASC-US findings is guided by established protocols, which may vary based on patient age and history. Understanding the implications of ASC-US is crucial for timely intervention and patient education regarding follow-up care.
Documentation should include patient history, results of cytology, and any follow-up tests ordered.
Routine screening in women with abnormal Pap smears, follow-up of patients with previous ASC-US results.
Consideration of patient age and risk factors for cervical cancer in follow-up recommendations.
Acute care documentation should include the reason for the cytology test and any immediate interventions.
Patients presenting with abnormal vaginal bleeding or discharge requiring urgent evaluation.
Emergency settings may necessitate expedited follow-up for patients with ASC-US findings.
Used when performing a Pap smear that results in ASC-US.
Documentation of the procedure performed and the results of the cytology.
Ensure that the procedure is linked to the diagnosis of ASC-US.
ASC-US stands for atypical squamous cells of undetermined significance, indicating that the cells are abnormal but do not clearly indicate a high-grade lesion or malignancy.
Patients with an ASC-US result typically require follow-up testing, such as HPV testing or a colposcopy, to determine if further intervention is necessary.
