R85.61 Abnormal cytologic smear of anus

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Abnormal cytologic smear of anus is R85.61 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
R83-R89: Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
Category R85
25 codes (21 billable)
FY2026 Status
Stable since FY2024
Excludes1
Not coded here. These conditions should NOT be coded together with R85.61.
  • abnormal cytological findings in specimens from other digestive organs and abdominal cavity (R85.69)
  • carcinoma in situ of anus (histologically confirmed) (D01.3)
  • anal intraepithelial neoplasia I [AIN I] (K62.82)
  • anal intraepithelial neoplasia II [AIN II] (K62.82)
  • anal intraepithelial neoplasia III [AIN III] (D01.3)
  • dysplasia (mild) (moderate) of anus (histologically confirmed) (K62.82)
  • severe dysplasia of anus (histologically confirmed) (D01.3)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • anal high risk human papillomavirus (HPV) DNA test positive (R85.81)
  • anal low risk human papillomavirus (HPV) DNA test positive (R85.82)

Official Coding Guidelines

Repeated falls vs history of falling

d. Repeated falls Code R29.6, Repeated falls, is for use for encounters when a patient has recently fallen and the reason for the fall is being investigated. Code Z91.81, History of falling, is for use when a patient has fallen in the past and is at risk for future falls. When appropriate, both codes R29.6 and Z91.81 may be assigned together.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.18.d
Use of R40.20 unspecified coma; do not report for induced/sedated

e. Coma Code R40.20, Unspecified coma, should be assigned when the underlying cause of the coma is not known, or the cause is a traumatic brain injury and the coma scale is not documented in the medical record. Do not report codes for unspecified coma, individual or total Glasgow coma scale scores for a patient with a medically induced coma or a sedated patient.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.18.e

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

Parent Code

R85 Abnormal findings in specimens from digestive organs and abdominal cavity

More Specific Codes

Related Codes in R85

R85 Abnormal findings in specimens from digestive organs and abdominal cavity R85.0 Abnormal level of enzymes in specimens from digestive organs and abdominal cavity R85.1 Abnormal level of hormones in specimens from digestive organs and abdominal cavity R85.2 Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity R85.3 Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity R85.4 Abnormal immunological findings in specimens from digestive organs and abdominal cavity R85.5 Abnormal microbiological findings in specimens from digestive organs and abdominal cavity R85.6 Abnormal cytological findings in specimens from digestive organs and abdominal cavity R85.610 Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US) R85.611 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H) R85.612 Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL) R85.613 High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL) R85.614 Cytologic evidence of malignancy on smear of anus R85.615 Unsatisfactory cytologic smear of anus R85.616 Satisfactory anal smear but lacking transformation zone R85.618 Other abnormal cytological findings on specimens from anus R85.619 Unspecified abnormal cytological findings in specimens from anus R85.69 Abnormal cytological findings in specimens from other digestive organs and abdominal cavity R85.7 Abnormal histological findings in specimens from digestive organs and abdominal cavity R85.8 Other abnormal findings in specimens from digestive organs and abdominal cavity
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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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