R87.624 Cytologic evidence of malignancy on smear of vagina

Billable ICD-10-CM code, FY2026.

Applies from R87 Abnormal findings in specimens from female genital organs

Includes

• 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

Applies from R87.62 Abnormal cytological findings in specimens from vagina

Excludes1 (never code 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)

• vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811)
• vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821)

Use additional code

• code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)

MS-DRG index

Defines the logic of DRG(s) 742-743 in MDC 13.

Approximate ICD-9-CM (GEMs)

• 795.16 Papanicolaou smear of vagina with cytologic evidence of malignancy

Code annotations containing back-references to R87.624

Back-references to R87.62

• Type 1 Excludes: N89 Other noninflammatory disorders of vagina ("abnormal results from vaginal cytologic examination without histologic confirmation (R87.62-)")
• Type 1 Excludes: R87.61 Abnormal cytological findings in specimens from cervix uteri ("abnormal cytological findings in specimens from vagina (R87.62-)")

Diagnosis Index entries for R87.624

• Abnormal, abnormality, abnormalities › Papanicolaou (smear) › vagina › cytologic evidence of malignancy
• Evidence › cytologic › of malignancy on vaginal smear

Nearby codes

• R87.62 Abnormal cytological findings in specimens from vagina
• R87.620 Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
• R87.621 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
• R87.622 Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
• R87.623 High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
• R87.624 Cytologic evidence of malignancy on smear of vagina (this code)
• R87.625 Unsatisfactory cytologic smear of vagina
• R87.628 Other abnormal cytological findings on specimens from vagina
• R87.629 Unspecified abnormal cytological findings in specimens from vagina
• R87.69 Abnormal cytological findings in specimens from other female genital organs
• R87.7 Abnormal histological findings in specimens from female genital organs