Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

R83Abnormal findings in cerebrospinal fluid

R83.0Abnormal level of enzymes in cerebrospinal fluid

R83.1Abnormal level of hormones in cerebrospinal fluid

R83.2Abnormal level of other drugs, medicaments and biological substances in cerebrospinal fluid

R83.3Abnormal level of substances chiefly nonmedicinal as to source in cerebrospinal fluid

R83.4Abnormal immunological findings in cerebrospinal fluid

R83.5Abnormal microbiological findings in cerebrospinal fluid
› Positive culture findings in cerebrospinal fluid
Excludes 1: colonization status (Z22.-)

R83.6Abnormal cytological findings in cerebrospinal fluid

R83.8Other abnormal findings in cerebrospinal fluid
› Abnormal chromosomal findings in cerebrospinal fluid

R83.9Unspecified abnormal finding in cerebrospinal fluid

R84Abnormal findings in specimens from respiratory organs and thorax
Includes: abnormal findings in bronchial washings
› abnormal findings in nasal secretions
› abnormal findings in pleural fluid
› abnormal findings in sputum
› abnormal findings in throat scrapings
Excludes 1: blood-stained sputum (R04.2)

R84.0Abnormal level of enzymes in specimens from respiratory organs and thorax

R84.1Abnormal level of hormones in specimens from respiratory organs and thorax

R84.2Abnormal level of other drugs, medicaments and biological substances in specimens from respiratory organs and thorax

R84.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from respiratory organs and thorax

R84.4Abnormal immunological findings in specimens from respiratory organs and thorax

R84.5Abnormal microbiological findings in specimens from respiratory organs and thorax
› Positive culture findings in specimens from respiratory organs and thorax
Excludes 1: colonization status (Z22.-)

R84.6Abnormal cytological findings in specimens from respiratory organs and thorax

R84.7Abnormal histological findings in specimens from respiratory organs and thorax

R84.8Other abnormal findings in specimens from respiratory organs and thorax
› Abnormal chromosomal findings in specimens from respiratory organs and thorax

R84.9Unspecified abnormal finding in specimens from respiratory organs and thorax

R85Abnormal findings in specimens from digestive organs and abdominal cavity
Includes: abnormal findings in peritoneal fluid
› abnormal findings in saliva
Excludes 1: cloudy peritoneal dialysis effluent (R88.0)
› fecal abnormalities (R19.5)

R85.0Abnormal level of enzymes in specimens from digestive organs and abdominal cavity

R85.1Abnormal level of hormones in specimens from digestive organs and abdominal cavity

R85.2Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity

R85.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity

R85.4Abnormal immunological findings in specimens from digestive organs and abdominal cavity

R85.5Abnormal microbiological findings in specimens from digestive organs and abdominal cavity
› Positive culture findings in specimens from digestive organs and abdominal cavity
Excludes 1: colonization status (Z22.-)

R85.6Abnormal cytological findings in specimens from digestive organs and abdominal cavity

R85.61Abnormal cytologic smear of anus
Excludes 1: 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)
Excludes 2: anal high risk human papillomavirus (HPV) DNA test positive (R85.81)
› anal low risk human papillomavirus (HPV) DNA test positive (R85.82)

R85.610Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)

R85.611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)

R85.612Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)

R85.613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)

R85.614Cytologic evidence of malignancy on smear of anus

R85.615Unsatisfactory cytologic smear of anus
› Inadequate sample of cytologic smear of anus

R85.616Satisfactory anal smear but lacking transformation zone

R85.618Other abnormal cytological findings on specimens from anus

R85.619Unspecified abnormal cytological findings in specimens from anus
› Abnormal anal cytology NOS
› Atypical glandular cells of anus NOS

R85.69Abnormal cytological findings in specimens from other digestive organs and abdominal cavity

R85.7Abnormal histological findings in specimens from digestive organs and abdominal cavity

R85.8Other abnormal findings in specimens from digestive organs and abdominal cavity

R85.81Anal high risk human papillomavirus (HPV) DNA test positive
Excludes 1: anogenital warts due to human papillomavirus (HPV) (A63.0)
› condyloma acuminatum (A63.0)

R85.82Anal low risk human papillomavirus (HPV) DNA test positive
Use Additional Code: code for associated human papillomavirus (B97.7)

R85.89Other abnormal findings in specimens from digestive organs and abdominal cavity
› Abnormal chromosomal findings in specimens from digestive organs and abdominal cavity

R85.9Unspecified abnormal finding in specimens from digestive organs and abdominal cavity

R86Abnormal findings in specimens from male genital organs
Includes: abnormal findings in prostatic secretions
› abnormal findings in semen, seminal fluid
› abnormal spermatozoa
Excludes 1: azoospermia (N46.0-)
› oligospermia (N46.1-)

R86.0Abnormal level of enzymes in specimens from male genital organs

R86.1Abnormal level of hormones in specimens from male genital organs

R86.2Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs

R86.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs

R86.4Abnormal immunological findings in specimens from male genital organs

R86.5Abnormal microbiological findings in specimens from male genital organs
› Positive culture findings in specimens from male genital organs
Excludes 1: colonization status (Z22.-)

R86.6Abnormal cytological findings in specimens from male genital organs

R86.7Abnormal histological findings in specimens from male genital organs

R86.8Other abnormal findings in specimens from male genital organs
› Abnormal chromosomal findings in specimens from male genital organs

R86.9Unspecified abnormal finding in specimens from male genital organs

R87Abnormal findings in specimens from female genital organs
Includes: abnormal findings in secretion and smears from cervix uteri
› abnormal findings in secretion and smears from vagina
› abnormal findings in secretion and smears from vulva

R87.0Abnormal level of enzymes in specimens from female genital organs

R87.1Abnormal level of hormones in specimens from female genital organs

R87.2Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs

R87.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs

R87.4Abnormal immunological findings in specimens from female genital organs

R87.5Abnormal microbiological findings in specimens from female genital organs
› Positive culture findings in specimens from female genital organs
Excludes 1: colonization status (Z22.-)

R87.6Abnormal cytological findings in specimens from female genital organs

R87.61Abnormal cytological findings in specimens from cervix uteri
Excludes 1: abnormal cytological findings in specimens from other female genital organs (R87.69)
› abnormal cytological findings in specimens from vagina (R87.62-)
› carcinoma in situ of cervix uteri (histologically confirmed) (D06.-)
› cervical intraepithelial neoplasia I [CIN I] (N87.0)
› cervical intraepithelial neoplasia II [CIN II] (N87.1)
› cervical intraepithelial neoplasia III [CIN III] (D06.-)
› dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
› severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
Excludes 2: cervical high risk human papillomavirus (HPV) DNA test positive (R87.810)
› cervical low risk human papillomavirus (HPV) DNA test positive (R87.820)

R87.610Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)

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

R87.612Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)

R87.613High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)

R87.614Cytologic evidence of malignancy on smear of cervix

R87.615Unsatisfactory cytologic smear of cervix
› Inadequate sample of cytologic smear of cervix

R87.616Satisfactory cervical smear but lacking transformation zone

R87.618Other abnormal cytological findings on specimens from cervix uteri

R87.619Unspecified abnormal cytological findings in specimens from cervix uteri
› Abnormal cervical cytology NOS
› Abnormal Papanicolaou smear of cervix NOS
› Abnormal thin preparation smear of cervix NOS
› Atypical endocervial cells of cervix NOS
› Atypical endometrial cells of cervix NOS
› Atypical glandular cells of cervix NOS

R87.62Abnormal cytological findings in specimens from vagina
Use Additional Code: code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)
Excludes 1: abnormal cytological findings in specimens from cervix uteri (R87.61-)
› abnormal cytological findings in specimens from other female genital organs (R87.69)
› carcinoma in situ of vagina (histologically confirmed) (D07.2)
› vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
› vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
› vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
› dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
› severe dysplasia of vagina (histologically confirmed) (D07.2)
Excludes 2: vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811)
› vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821)

R87.620Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)

R87.621Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)

R87.622Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)

R87.623High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)

R87.624Cytologic evidence of malignancy on smear of vagina

R87.625Unsatisfactory cytologic smear of vagina
› Inadequate sample of cytologic smear of vagina

R87.628Other abnormal cytological findings on specimens from vagina

R87.629Unspecified abnormal cytological findings in specimens from vagina
› Abnormal Papanicolaou smear of vagina NOS
› Abnormal thin preparation smear of vagina NOS
› Abnormal vaginal cytology NOS
› Atypical endocervical cells of vagina NOS
› Atypical endometrial cells of vagina NOS
› Atypical glandular cells of vagina NOS

R87.69Abnormal cytological findings in specimens from other female genital organs
› Abnormal cytological findings in specimens from female genital organs NOS
Excludes 1: dysplasia of vulva (histologically confirmed) (N90.0-N90.3)

R87.7Abnormal histological findings in specimens from female genital organs
Excludes 1: carcinoma in situ (histologically confirmed) of female genital organs (D06-D07.3)
› cervical intraepithelial neoplasia I [CIN I] (N87.0)
› cervical intraepithelial neoplasia II [CIN II] (N87.1)
› cervical intraepithelial neoplasia III [CIN III] (D06.-)
› dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
› dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
› vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
› vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
› vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
› severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
› severe dysplasia of vagina (histologically confirmed) (D07.2)

R87.8Other abnormal findings in specimens from female genital organs

R87.81High risk human papillomavirus (HPV) DNA test positive from female genital organs
Excludes 1: anogenital warts due to human papillomavirus (HPV) (A63.0)
› condyloma acuminatum (A63.0)

R87.810Cervical high risk human papillomavirus (HPV) DNA test positive

R87.811Vaginal high risk human papillomavirus (HPV) DNA test positive

R87.82Low risk human papillomavirus (HPV) DNA test positive from female genital organs
Use Additional Code: code for associated human papillomavirus (B97.7)

R87.820Cervical low risk human papillomavirus (HPV) DNA test positive

R87.821Vaginal low risk human papillomavirus (HPV) DNA test positive

R87.89Other abnormal findings in specimens from female genital organs
› Abnormal chromosomal findings in specimens from female genital organs

R87.9Unspecified abnormal finding in specimens from female genital organs

R88Abnormal findings in other body fluids and substances

R88.0Cloudy (hemodialysis) (peritoneal) dialysis effluent

R88.8Abnormal findings in other body fluids and substances

R89Abnormal findings in specimens from other organs, systems and tissues
Includes: abnormal findings in nipple discharge
› abnormal findings in synovial fluid
› abnormal findings in wound secretions

R89.0Abnormal level of enzymes in specimens from other organs, systems and tissues

R89.1Abnormal level of hormones in specimens from other organs, systems and tissues

R89.2Abnormal level of other drugs, medicaments and biological substances in specimens from other organs, systems and tissues

R89.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from other organs, systems and tissues

R89.4Abnormal immunological findings in specimens from other organs, systems and tissues

R89.5Abnormal microbiological findings in specimens from other organs, systems and tissues
› Positive culture findings in specimens from other organs, systems and tissues
Excludes 1: colonization status (Z22.-)

R89.6Abnormal cytological findings in specimens from other organs, systems and tissues

R89.7Abnormal histological findings in specimens from other organs, systems and tissues

R89.8Other abnormal findings in specimens from other organs, systems and tissues
› Abnormal chromosomal findings in specimens from other organs, systems and tissues

R89.9Unspecified abnormal finding in specimens from other organs, systems and tissues