Facebook tracking pixel
Z87.410
ICD-10-CM
History of Abnormal Papanicolaou Test

Understanding a History of Abnormal Pap Smear diagnosis? This guide covers clinical documentation, medical coding (ICD-10 codes), and healthcare best practices for managing and documenting a history of abnormal cervical cytology, including ASCUS, LSIL, HSIL, AGC, and atypical glandular cells. Learn about follow-up procedures, diagnostic workup, and implications for patient care. Find information on Pap smear abnormalities, cervical dysplasia, and HPV testing related to a History of Abnormal Pap Test.

Also known as

History of Abnormal Pap Test
Abnormal Pap History
Previous Abnormal Pap Smear

Diagnosis Snapshot

Key Facts
  • Definition : Past abnormal Pap smear result, requiring follow-up.
  • Clinical Signs : Usually none. May have abnormal vaginal bleeding or discharge.
  • Common Settings : Gynecology clinic, primary care office, or planned parenthood.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z87.410 Coding
Z87.4

Personal history of abnormal Pap

History of an abnormal Pap smear result.

N87

Dysplasia of cervix uteri

Abnormal cell growth on the cervix, often found via Pap.

D06

Carcinoma in situ of cervix uteri

Early-stage cervical cancer, detectable through Pap smears.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is there any mention of cervical dysplasia or neoplasia?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Abnormal Pap smear history
History of HPV infection
History of cervical dysplasia

Documentation Best Practices

Documentation Checklist
  • History of abnormal Pap test documented with specific details
  • Date and type of abnormal Pap smear result
  • Follow-up procedures performed after abnormal Pap
  • Management plan for abnormal Pap documented
  • Current status of abnormal Pap findings

Coding and Audit Risks

Common Risks
  • Unspecified Abnormality

    Coding Z87.4 (personal history of abnormal Pap) without specifying the abnormality type lacks detail for accurate risk adjustment and quality reporting.

  • Active vs. History

    Confusing active dysplasia (e.g., R87.619) with a history of abnormal Pap can lead to inaccurate coding and overstate current disease burden.

  • Lacking Follow-up

    Documenting history of abnormal Pap without follow-up or resolution status (e.g., subsequent normal Pap or treatment) may hinder accurate clinical picture and coding.

Mitigation Tips

Best Practices
  • Document pap test abnormality details: type, location.
  • Link abnormal pap to HPV test results, colposcopy.
  • Code abnormal pap with current diagnostic terminology.
  • Query physician for clarification if pap details vague.
  • Ensure proper ICD-10 coding for abnormal pap history.

Clinical Decision Support

Checklist
  • Confirm abnormal Pap test type/grade in prior result.
  • Document date and location of prior abnormal Pap.
  • Review subsequent colpo/biopsy results if available.
  • Assess HPV status/risk factors (age, smoking).
  • Evaluate current symptoms and relevant medical history.

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement: ICD-10 Z87.41, History of abnormal Pap smear. Proper coding crucial for accurate claims processing. Coding errors impact revenue cycle.
  • Quality Metrics: Abnormal Pap requires follow-up. Impacts quality reporting on preventative care and womens health. HEDIS measures affected.
  • Coding Accuracy: Precise coding (Z87.41 vs. other gynecological codes) needed. Avoid denials and optimize reimbursement for Pap smear history.
  • Hospital Reporting: Accurate diagnosis coding impacts hospital data reporting. Affects resource allocation and quality improvement initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z87.429 for abnormal Pap
  • Document specific abnormality
  • Rule out current dysplasia
  • Consider timing of last Pap
  • Review pathology report details

Documentation Templates

Patient presents with a history of abnormal Pap smear, also documented as abnormal Papanicolaou test or cervical cytology.  The patient reports (insert patient reported symptoms such as abnormal vaginal bleeding, pelvic pain, or no symptoms if asymptomatic).  Past medical history includes (insert dates and specific findings of previous abnormal Pap smears including the specific abnormality e.g., ASCUS, LSIL, HSIL, AGC, AIS) and any subsequent colposcopy, biopsy, LEEP procedure, or other cervical interventions.  Review of systems includes (relevant positive and negative findings related to gynecological health).  On physical exam, (document pelvic exam findings including appearance of the cervix, presence or absence of lesions, and any tenderness).  Assessment: History of abnormal Pap smear.  Differential diagnoses include cervical dysplasia, cervical intraepithelial neoplasia (CIN), human papillomavirus (HPV) infection, and other cervical pathology.  Plan:  (Specify plan of care based on the specific history of abnormal Pap smears.  This may include HPV testing, repeat Pap smear, colposcopy with or without biopsy, or referral to gynecology oncology depending on the severity and persistence of previous abnormalities). Patient education provided regarding the significance of abnormal Pap smears, the importance of follow-up care, and risk factors for cervical cancer.  Medical coding considerations include ICD-10 code Z87.42 (personal history of abnormal Pap smear).  The patient understands the plan and agrees to follow up as directed.