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R87.7 ICD-10-CM Code: Abnormal histological findings in specimens from female genital organs

ICD-10-CM Code View

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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

R87.7

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Abnormal histological findings in specimens from female genital organs

Abnormal tissue findings from a biopsy or tissue sample taken from female genital organs, indicating unusual cellular structure or composition.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R87Abnormal findings in specimens from female genital organs
R87.7Abnormal histological findings in specimens from female genital organs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for R87.7 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R87.7 in this effective period.

Related Child Codes

Official
R87.0Abnormal level of enzymes in specimens from female genital organs
R87.1Abnormal level of hormones in specimens from female genital organs
R87.2Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
R87.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
R87.4Abnormal immunological findings in specimens from female genital organs

Includes

Official
  • 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

Excludes 1

Official
  • carcinoma in situ (histologically confirmed) of female genital organs (D06-D07.3)
  • cervical intraepithelial neoplasia I [CIN I] (N87.0)
  • cervical intraepithelial neoplasia II [CIN II] (N87.1)
  • cervical intraepithelial neoplasia III [CIN III] (D06.-)
  • dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R87.7 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R87.7 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for R87.7 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is for histology (tissue examination) results, not cytology (cell examination); ensure the specimen type is correctly identified
Specify the organ source when possible to support clinical decision-making and follow-up care

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is R87.7 an HCC code?

No. R87.7 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
R87.7
Description
Abnormal histological findings in specimens from female genital organs
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

R87.7 is the ICD-10-CM diagnosis code for abnormal histological findings in specimens from female genital organs. Abnormal tissue findings from a biopsy or tissue sample taken from female genital organs, indicating unusual cellular structure or composition. R87.7 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).

R87.7 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.

This code is for histology (tissue examination) results, not cytology (cell examination); ensure the specimen type is correctly identified.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R87.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is for histology (tissue examination) results, not cytology (cell examination); ensure the specimen type is correctly identified
  • Specify the organ source when possible to support clinical decision-making and follow-up care

Excludes 1, Do NOT code together

  • carcinoma in situ (histologically confirmed) of female genital organs (D06-D07.3)
  • cervical intraepithelial neoplasia I [CIN I] (N87.0)
  • cervical intraepithelial neoplasia II [CIN II] (N87.1)
  • cervical intraepithelial neoplasia III [CIN III] (D06.-)
  • dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
  • dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
  • vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
  • vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
  • vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
  • severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
  • severe dysplasia of vagina (histologically confirmed) (D07.2)

Child Codes

Code Hierarchy

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