R87.629
Unspecified abnormal cytological findings in specimens from vagina
R87.629 (also written R87629) is a billable ICD-10-CM diagnosis code for unspecified abnormal cytological findings in specimens from vagina. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 31 codes in category R87 (Abnormal findings in specimens from female genital organs). The Alphabetic Index lists it under 5 entries. Its coding notes include a Use additional code instruction, 10 Excludes1 entries and 9 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Symptom and sign codes are acceptable when no definitive diagnosis has been established. They are not added for signs that are routinely associated with a diagnosis.
Use additional code
Add the listed code as a secondary code, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- abnormal cytological findings in specimens from cervix uteri (R87.61-)
- abnormal cytological findings in specimens from other female genital organs (R87.69)
- carcinoma in situ of vagina (histologically confirmed) (D07.2)
- vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
- vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
- vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
- dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
- severe dysplasia of vagina (histologically confirmed) (D07.2)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (7 notes)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
IPF Primary
IPF MS-DRG adjustment. A principal diagnosis of this code groups to one of these MS-DRGs. Which one depends on other facts of the stay, so the factor is a range:
| MS-DRG | Description | Factor |
|---|---|---|
| 947 | Signs and Symptoms w MCC | 1.12 |
| 948 | Signs and Symptoms w/out MCC | 1.09 |
Includes
Further defines or gives examples of the content of the category.
- abnormal findings in secretion and smears from cervix uteri
- abnormal findings in secretion and smears from vagina
- abnormal findings in secretion and smears from vulva
Inclusion terms
Conditions classified to this code.
- Abnormal Papanicolaou smear of vagina NOS
- Abnormal thin preparation smear of vagina NOS
- Abnormal vaginal cytology NOS
- Atypical endocervical cells of vagina NOS
- Atypical endometrial cells of vagina NOS
- Atypical glandular cells of vagina NOS
Notes
Also from chapter/block level (9 notes)
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 5 entries
- Abnormal, abnormality, abnormalities, Papanicolaou (smear), vagina
- Abnormal, abnormality, abnormalities, Papanicolaou (smear), vagina, thin preparation
- Abnormal, abnormality, abnormalities, specimen, female genital organs (secretions) (smears), cytology, vagina
- Abnormal, abnormality, abnormalities, specimen, vagina (secretion) (smear)
- Atypical, atypism, cells (on cytolgocial smear) (endocervical) (endometrial) (glandular), vagina