Abnormal histological findings in specimens from female genital organs
ICD-10 R87.7 is a billable code used to indicate a diagnosis of abnormal histological findings in specimens from female genital organs.
R87.7 is used to classify abnormal histological findings in specimens obtained from female genital organs, which may include the cervix, uterus, ovaries, and vagina. These findings can arise from various conditions, including infections, neoplasms, and inflammatory processes. Histological examination may reveal atypical cells, dysplasia, or malignancy, necessitating further investigation and management. Common symptoms associated with abnormal histological findings may include abnormal vaginal bleeding, pelvic pain, or unusual discharge. The diagnostic approach typically involves obtaining a biopsy or cytological specimen, followed by microscopic evaluation by a pathologist. The findings must be correlated with clinical symptoms and other diagnostic tests to determine the underlying cause and appropriate treatment. Accurate coding of R87.7 requires careful documentation of the histological findings and the clinical context in which they were discovered.
Detailed clinical history, including symptoms and previous findings, must be documented to support the diagnosis.
Patients presenting with abnormal Pap smears or pelvic pain requiring further evaluation.
Ensure that all relevant clinical findings are documented to support the need for histological examination.
Acute care documentation must include the reason for the histological examination and any immediate findings.
Patients with acute pelvic pain or abnormal bleeding presenting to the emergency department.
Rapid assessment and documentation are crucial for timely diagnosis and treatment.
Used when a Pap smear indicates abnormal findings leading to further histological examination.
Document the reason for the Pap smear and any follow-up actions taken based on results.
Ensure that the specialty performing the procedure is noted, as it may affect coding.
R87.7 includes abnormal histological findings such as dysplasia, atypical cells, and other non-specific abnormal findings from female genital organ specimens.
