High grade intrepith lesion cyto smr crvx (HGSIL)

High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)

📋Clinical Description

This code signifies the presence of high-grade squamous intraepithelial lesions (HGSIL) detected on a cervical cytology (Pap test) smear. HGSIL indicates significant precancerous changes in the cells lining the cervix, carrying a higher risk of progression to invasive cervical cancer if left untreated.

🎯When to Use

Use this code when a pathology report for a cervical cytology specimen definitively identifies HGSIL. This typically occurs following an abnormal Pap test result, prompting further diagnostic evaluation and management. Documentation must clearly state "high-grade squamous intraepithelial lesion" or "HGSIL" on the cytology report.

💡Coding Tips

Differentiate from low-grade squamous intraepithelial lesion (LSIL) codes, which represent less severe cellular changes.
This code is for the cytologic finding on a smear; do not use for biopsy results (which would typically be CIN2 or CIN3).
Ensure the documentation specifies "cervix" as the site to avoid confusion with other squamous intraepithelial lesions.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲R87.61Abnormal cytological findings in specimens from cervix uteri

R87.613(current)

Crosswalks

795.04ExactICD-9 795.04ExactICD-9

Same Category

R87Abnormal findings in specimens from female genital organs R87.0Abn lev enzymes in specimens from female genital organs R87.1Abn lev hormones in specimens from female genital organs R87.2