Z87.410 Personal history of cervical dysplasia

ICD10CM code

#### Name of the Condition
- Personal History of Cervical Dysplasia
- ICD Code: Z87.410

#### Summary
Cervical dysplasia refers to abnormal changes in the cells on the surface of the cervix that have the potential to develop into cervical cancer if left untreated. Having a personal history of cervical dysplasia means a person has previously had this condition but is currently not exhibiting signs of it.

#### Causes
Cervical dysplasia is mainly caused by persistent infection with high-risk strains of the human papillomavirus (HPV). Other contributing factors can include smoking and having a weakened immune system.

#### Risk Factors
- Persistent HPV infection
- Tobacco use
- Early onset of sexual activity
- Multiple sexual partners
- Immunosuppression (e.g., due to HIV infection)

#### Symptoms
Cervical dysplasia itself typically does not cause any symptoms and is usually detected through routine screening, such as a Pap smear.

#### Diagnosis
Cervical dysplasia is diagnosed through cervical screening tests:
- Pap smear (Pap test)
- HPV DNA test
- Follow-up procedures such as a colposcopy or biopsy might be needed for further assessment.

#### Treatment Options
Treatment is not always required, especially for mild dysplasia, as it can resolve spontaneously. However, higher-grade dysplasia may require:
- Cryotherapy
- Loop electrosurgical excision procedure (LEEP)
- Cold knife conization

These procedures help remove or destroy the abnormal cells.

#### Prognosis and Follow-Up
With appropriate monitoring and treatment, the prognosis is generally good. Patients with a history of cervical dysplasia should have regular follow-up screenings to ensure it does not develop into cancer.

#### Complications
If left undiagnosed or untreated, cervical dysplasia can potentially progress to cervical cancer over time.

#### Lifestyle & Prevention
Preventive measures include:
- HPV vaccination
- Regular cervical screening (Pap smears)
- Smoking cessation
- Safe sexual practices

#### When to Seek Professional Help
Seek medical advice if experiencing symptoms like abnormal vaginal bleeding or if there are concerns about past cervical dysplasia or HPV infections.

#### Additional Resources
- American Cancer Society: [www.cancer.org](https://www.cancer.org)
- Centers for Disease Control and Prevention (CDC): [www.cdc.gov](https://www.cdc.gov)
- National Cervical Cancer Coalition: [www.nccc-online.org](https://www.nccc-online.org)

#### Tips for Medical Coders
- Ensure the history of cervical dysplasia is documented as resolved before using the Z87.410 code.
- Be careful not to confuse with codes for active cervical dysplasia or cervical cancer.
- Verify if additional screening or preventive procedures are recorded separately.

Medical Policies and Guidelines for Personal history of cervical dysplasia

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