R87.7 ICD-10-CM Code: Abnormal histological findings in specimens from female genital organs
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
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 guidanceAbnormal 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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for R87.7 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for R87.7 in this effective period.
Related Child Codes
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
OfficialICD-10-CM does not list Code First sequencing instructions for R87.7 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for R87.7 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for R87.7 in this effective period.
Buddy Documentation Tip
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)

