R87.613 ICD-10-CM Code: High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)

R87.613 is the ICD-10-CM diagnosis code for high grade squamous intraepithelial lesion on cytologic smear of cervix (hgsil). A cervical cancer screening test shows significant abnormal cell changes that have a higher risk of developing into cervical cancer. R87.613 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (r83-r89).

R87.613 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

HGSIL findings typically warrant immediate colposcopy and possible biopsy.