Common Cytology Diagnosis Codes Code Description Code Description Code Description 789.00 795.00 795.01 Abdominal pain unspecified site Abnormal Glandular Pap, cervix Abnormal Pap with atypical squamous cells of undetermined significance (ASC-US) Abnormal Pap with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion [ASC-H] Abnormal Pap, with low grade squamous intraepithelial lesion [LGSIL] Abnormal Pap with high grade squamous intraepithelial lesion [HGSIL] Abnormal Pap with cytologic evidence of malignancy Abnormal Pap, satisfactory cervical smear but Lacking transformation zone Abnormal Pap, unsatisfactory smear Amenorrhea, Absence of menstruation Anemia, unspecified Antenatal screening, other Antenatal, screening, unspecified Atrophic Vaginitis, post-menopausal Breast Mass Candidiasis of unspecified site Candidiasis, vulva and vagina Carrier or suspected carrier of infectious diseases, Gonorrhea Cervical Dysplasia, unspecified Cervical Polyp Cervicitis and endocervicitis Chancroid, other venereal diseases Chlamydia trachomatis, other NGU Cystic Fibrosis gene carrier Disorders of menstruation and other abnormal bleeding from female genital tract, other Dysmenorrhea 625.0 622.10 623.0 788.1 V15.85 V01.6 276.69 V25.01 780.79 616.9 218.9 V26.33 091.0 098.0 098.2 *V72.31 054.12 054.10 054.11 054.9 V69.2 259.9 079.4 795.05 795.09 626.1 628.9 616.9 626.4 623.1 623.5 099.1 760.2 626.2 626.9 Dyspareunia Dysplasia of cervix, unspecified Dysplasia of vagina Dysuria Exposure to potentially hazardous body fluids Exposure to venereal diseases Fluid Overload, other Family Planning, (Oral Contraceptives) Fatigue Female Genital Inflammation, NOS Fibroid, Uterine Genetic counseling/ testing for procreative mgmt Genital Syphilis, Primary Gonoccocal infections, acute of lower tract Gonoccocal infections, chronic of lower tract Gyn Exam, with or without Pap Herpes, genital, ulceration of vulva Herpes, genital, unspecified Herpes, genital, vulvovaginitis Herpes Simplex High risk sexual behavior Hormone Imbalance Human papillomavirus [HPV] HPV, high risk, DNA test positive HPV, low risk, DNA test positive Hypomenorrhea Infertility, unspecified origin Inflammatory disease of cervix, vagina, and vulva Irregular menstrual cycle Leukoplakia of vagina Leukorrhea, not specified as infective Lymphogranuloma venereum Maternal infections Menorrhagia Menstrual Disorder, unspecified 622.11 078.0 616.81 Mild dysplasia of cervix Molluscum contagiosum Mucositis (ulcerative) of cervix, vagina and vulva Mycoplasma Normal Pregnancy, First Normal Pregnancy, Other Other specified bacterial infections, anerobes Other specified chlamydial infection Other specified noninflammatory disorder of vagina Other specified noninflammatory disorders of vulva and peritoneum Other specified venereal diseases Other venereal diseases due to Chlamydia Trachomatis, lower genitourinary sites Other viral diseases Pain and other symptoms associated with female genital organs Post-Menopausal Bleeding Premenopausal Menorrhagia Routine Pap, (not part of Gyn Exam) Routine Post Partum Follow-up Salpingitis and Oophoritis, Acute Special screening for Human papillomavirus (HPV) Special screening for other specified chlamydial diseases Special screening for other specified viral diseases Vaginitis and vulvovaginitis, in diseases classified elsewhere Vaginitis and vulvovaginitis, unspecified Venereal Disease, unspecified Viral Warts, Unspecified 795.02 795.03 795.04 795.06 795.07 795.08 626.0 285.9 V28.89 V28.9 627.3 611.72 112.9 112.1 V02.7 622.10 622.7 616.0 099.0 V83.81 626.8 625.3 041.81 V22.0 V22.1 041.84 079.88 623.8 624.8 099.8 099.53 V01.79 625.8 627.1 627.0 V76.2 V24.2 614.0 V73.81 V73.88 V73.89 616.11 616.10 099.9 078.10 Effective 10/1/10: For AHCCCS members 21 years of age and older, PAP smears are covered when performed during an office visit; however the use of primary ICD-9 diagnosis codes V72.31, V70.0, or V70.9 as the PRIMARY diagnosis with ANY procedure, will CAUSE THE ENTIRE CLAIM TO BE DENIED. This list is intended to assist ordering physicians in providing ICD-9-CM codes on Sonora Quest Laboratories’ cytology requisitions as required by Medicare and other insurers. It includes the most commonly found cytology ICD-9-CM codes, but is not complete. It was compiled from the 2013 ICD-9-CM code book, which should be used as a complete reference. The ultimate responsibility for correct coding belongs with the ordering physician. Please note: the test offering listed on the Cytology Requisitions may have changed since your last order. Please check carefully to ensure you are ordering the desired testing. Rev 1/13