R87.611 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)

ICD10CM code

#### Name of the Condition
- **Atypical Squamous Cells Cannot Exclude High Grade Squamous Intraepithelial Lesion (ASC-H)**

#### Summary
- **ASC-H** is a term used to describe cervical cells found on a Pap smear that show abnormal changes. These changes cannot completely rule out the presence of a high-grade squamous intraepithelial lesion, which may signal the potential for cervical cancer.

#### Causes
- The primary cause of ASC-H findings is often associated with human papillomavirus (HPV) infection, particularly with high-risk strains that affect cervical cells.

#### Risk Factors
- Factors that may increase the risk of ASC-H findings include persistent HPV infection, early sexual activity, multiple sexual partners, a weakened immune system, and smoking.

#### Symptoms
- ASC-H itself does not cause symptoms. It is a cytologic finding. Symptoms typically associated with cervical lesions might include abnormal bleeding, unusual discharge, or pelvic pain, but these are not directly linked to ASC-H detection.

#### Diagnosis
- Diagnosed via Pap smear cytology. If ASC-H is detected, further evaluation with a colposcopy and possible cervical biopsy is recommended to clarify the nature of the lesions.

#### Treatment Options
- Management depends on follow-up test results. Options might include careful observation with repeat testing, or if high-grade lesions are confirmed, treatments like cryotherapy, laser therapy, or surgical procedures such as LEEP (Loop Electrosurgical Excision Procedure).

#### Prognosis and Follow-Up
- With appropriate follow-up and intervention, the progression to cervical cancer can often be prevented. Regular gynecological check-ups are crucial for monitoring.

#### Complications
- If not appropriately managed, the abnormal cells might progress to cervical cancer over time. 

#### Lifestyle & Prevention
- Safe sex practices to reduce HPV transmission, regular cervical screening per guidelines, vaccination against HPV, and avoiding smoking may lower the risk of developing significant cervical cell changes.

#### When to Seek Professional Help
- Seek gynecological advice if having symptoms like unusual vaginal bleeding or discharge, or if there is a history of abnormal Pap smears.

#### Additional Resources
- [American Cancer Society](https://www.cancer.org)
- [Centers for Disease Control and Prevention – Cervical Cancer](https://www.cdc.gov/cancer/gynecologic/cervical/index.htm)
- [The National Cervical Cancer Coalition](http://www.nccc-online.org)

#### Tips for Medical Coders
- Ensure accurate coding by confirming the cytology result aligns with ICD code R87.611, which specifically pertains to atypical squamous cells but cannot exclude high-grade lesions.
- Watch out for similar codes that may represent different types of cervical abnormalities to avoid misclassification.

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