Skip to content
Dx

ICD-10-CM 2027

ICD-10 code for vagina hgsil

R87.623

High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)

✓ Billable / specificFemale only

From the official ICD-10-CM alphabetic index entry “HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding) › vagina”. Page updated September 29, 2026.

About coding vagina hgsil

The ICD-10-CM code for vagina hgsil is R87.623 (High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)).

Within R87.62 (abnormal cytological findings in specimens from vagina), R87.623 is specifically for high grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL). Related codes cover atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US) (R87.620), atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) (R87.621), low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL) (R87.622), cytologic evidence of malignancy on smear of vagina (R87.624), unsatisfactory cytologic smear of vagina (R87.625), other abnormal cytological findings on specimens from vagina (R87.628) and unspecified abnormal cytological findings in specimens from vagina (R87.629).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC, relative weight 1.8456), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC, relative weight 1.2974), DRG 760 (Menstrual and Other Female Reproductive System Disorders with CC/MCC, relative weight 1.0129) and DRG 761 (Menstrual and Other Female Reproductive System Disorders without CC/MCC, relative weight 0.7041), in MDC 13 (Diseases and Disorders of the Female Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific vagina hgsil codes (official index)

  • biopsy (histology) finding

Common questions about vagina hgsil ICD-10 codes

What is the ICD-10 code for vagina hgsil?

R87.623 — High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL).

Is R87.623 billable?

Yes. R87.623 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R87.623 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R87.623 as a principal diagnosis.

Is R87.623 a CC or MCC?

No. R87.623 is neither a CC nor an MCC under MS-DRG v44.0.