R87.614 Cytologic evidence of malignancy on smear of cervix

ICD10CM code

#### Name of the Condition
- Cytologic Evidence of Malignancy on Smear of Cervix (ICD Code: R87.614)

#### Summary
- This condition indicates the presence of cancerous cells on a Pap smear test of the cervix, suggesting potential underlying cervical cancer or pre-cancerous changes.

#### Causes
- The primary cause is the transformation of normal cervical cells into cancerous cells, often related to persistent infection with high-risk types of human papillomavirus (HPV).

#### Risk Factors
- Risk factors include infection with HPV, smoking, having a weakened immune system, long-term use of oral contraceptives, and multiple full-term pregnancies, as well as early sexual activity and multiple sexual partners.

#### Symptoms
- In the early stages, there may be no symptoms. However, symptoms such as abnormal vaginal bleeding, pelvic pain, or pain during intercourse could indicate advanced disease.

#### Diagnosis
- The primary method of diagnosis is a Pap smear followed by further testing such as an HPV test, colposcopy, or biopsy to confirm malignancy.

#### Treatment Options
- Treatments may include surgery (e.g., hysterectomy), radiation therapy, chemotherapy, or targeted therapy. The choice of treatment depends on the stage of the cancer and overall health of the patient.

#### Prognosis and Follow-Up
- Prognosis varies based on the stage at diagnosis. Early detection through regular screening typically leads to better outcomes. Regular follow-up exams are crucial to monitor for recurrence.

#### Complications
- Potential complications include spread of cancer to other parts of the body, fertility concerns, and side effects from treatments.

#### Lifestyle & Prevention
- Regular cervical screening (Pap tests), HPV vaccination, practicing safe sex, and avoiding smoking can help reduce the risk. A healthy diet and regular exercise also support general health.

#### When to Seek Professional Help
- Seek medical attention if experiencing symptoms like abnormal bleeding, pelvic pain, or unusual discharge, especially if persistent.

#### Additional Resources
- American Cancer Society (www.cancer.org), National Cervical Cancer Coalition (www.nccc-online.org), Centers for Disease Control and Prevention (CDC) HPV Page

#### Tips for Medical Coders
- Ensure documentation specifically states cytologic evidence of malignancy on the cervix. Avoid confusing with benign or unspecified findings. Confirm the specificity of intracytoplasmic or morphological evidence consistent with malignancy in the cervix.

Medical Policies and Guidelines for Cytologic evidence of malignancy on smear of cervix

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