ICD-10 Coding for ASCUS(R87.610)
Complete ICD-10-CM coding and documentation guide for ASCUS. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ASCUS
R87.6Primary Range
Abnormal findings in specimens from female genital organs
This range includes codes for abnormal cytological findings in cervical and vaginal specimens, including ASCUS.
Key Information: ICD-10 code for ASCUS
Essential facts and insights about ASCUS
Primary ICD-10-CM Code for ascus
Decision Criteria
clinical Criteria
- ASC-US confirmed by cytology report
coding Criteria
- Use R87.610 for ASC-US findings
documentation Criteria
- Document cytology findings and HPV status
Clinical Validation Requirements
- Cytology report confirming ASC-US
- Bethesda System terminology
Code-Specific Risks
- Confusing ASC-US with ASC-H or LSIL
- Incorrect sequencing with screening codes
Coding Notes
- Ensure documentation specifies ASC-US and includes HPV status if available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ASCUS to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R87.610.
Impact
Clinical: Leads to misinterpretation of patient condition., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Use specific terminology like ASC-US., Include detailed cytology and HPV results.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure ASC-US is specifically documented to use R87.610.
Impact
Failure to specify ASC-US can lead to audit issues.
Mitigation Strategy
Ensure documentation uses precise terminology and includes HPV results.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for ASCUS, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ASCUS
Use these documentation templates to ensure complete and accurate documentation for ASCUS. These templates include all required elements for proper coding and billing.
Routine Pap with ASC-US
Specialty: OB/GYNRequired Elements
- Patient history
- Cytology results
- HPV status
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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