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ICD-10-CM 2027

ICD-10 code for anus hgsil

R85.613

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

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding) › anus”. Page updated September 29, 2026.

About coding anus hgsil

The ICD-10-CM code for anus hgsil is R85.613 (High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)).

Within R85.61 (abnormal cytologic smear of anus), R85.613 is specifically for high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL). Related codes cover atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US) (R85.610), atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H) (R85.611), low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL) (R85.612), cytologic evidence of malignancy on smear of anus (R85.614), unsatisfactory cytologic smear of anus (R85.615), Satisfactory anal smear but lacking transformation zone (R85.616), other abnormal cytological findings on specimens from anus (R85.618) and unspecified abnormal cytological findings in specimens from anus (R85.619).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about anus hgsil ICD-10 codes

What is the ICD-10 code for anus hgsil?

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

Is R85.613 billable?

Yes. R85.613 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R85.613 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R85.613 as a principal diagnosis.

Is R85.613 a CC or MCC?

No. R85.613 is neither a CC nor an MCC under MS-DRG v44.0.