Transcription of COMMON ICD-9 CODES FOR PAP TESTS
1 COMMON ICD-9 CODES FOR PAP TESTS SCREENING PAP TESTS Screening (no signs or symptoms of disease) ICD-9 code Description Comments Routine gynecologic exam, with or without Pap test Covers physician retrieval of Pap Encounter for Pap test to confirm recent Normal test following initial abnormal test Covers physician retrieval of Pap Routine screening Pap test, intact cervix Reimbursed every two years Routine vaginal Pap test Reimbursed every two years Routine vaginal Pap test, history of neoplasm, other site Reimbursed every two years Screening Pap test for high-risk (Defined as: onset of sexual activity before 16 yrs of age, multiple sexual partners, STD s, <3 negative Paps in last seven years, DES-exposed daughters.) Annual coverage Provided for your coding convenience, Courtesy of Blue Mountain Pathology Anatomic and Clinical Pathology Laboratory Pendleton, Oregon 97801 1-800-700-6892 DIAGNOSTIC PAP TESTS Diagnostic (signs or symptoms of cervical/vaginal disease) ICD-9 code Description Comments Atypical glandular cells, endocervicals, endometrials Excludes CIN, SIL, CIS, CA ASC-US on Pap ASC-H on Pap LGSIL on Pap HGSIL on Pap High-risk HPV DNA test positive Unsatisfactory smear (inadequate sample) Used to be Other abnormal Pap smear of cervix and cervical HPV Low-risk HPV positive Nonspecific abnormal Pap smear of other site Dysplasia of cervix, NOS ( ) CIN I, mild dysplasia CIN II, moderate dysplasia VAIN I and II CIN III, cervix Vaginal CIS (VAIN III)
2 616 Cervicitis Vaginitis and vulvovaginitis Vulvar ulcer Endometriosis, uterus Unspecified inflammatory disease of cervix, vagina, and vulva Vaginal discharge Menometrorrhagia Irregular menstrual cycle Metrorrhagia Dysfunctional uterine bleeding Postmenopausal bleeding Malignant neoplasm of cervix (squamous cell carcinoma) Malignant neoplasm of body of uterus Ovarian malignancy Candidiasis, vulvovaginal & other sites Genital herpes Note: The 795 series is meant for Bethesda cytology use. and 233 series to be used for histologically verified CIN/CIS/dysplasia
