ICD-10 R85.615
Billable / SpecificUnsatisfactory cytologic smear of anus
About ICD-10-CM R85.615
ICD-10-CM code R85.615 represents Unsatisfactory cytologic smear of anus. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R85). The 2026 edition of ICD-10-CM R85.615 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R85.615. Per CMS ICD-10-CM Tabular 2026.
- Inadequate sample of cytologic smear of anus
Medicare LCD Coverage for R85.615
Local Coverage Determinations (LCDs) from CMS MACs that list R85.615 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R85.615.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R85.615 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R85.615
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R85.615 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R85.615 | 79678 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R85.615
Other codes in section R83-R89 (Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis).
ICD-10 R85.615, Billing FAQ
Is ICD-10 code R85.615 billable? +
Yes, R85.615 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R85.615? +
ICD-10 R85.615 includes: Inadequate sample of cytologic smear of anus.
What ICD-9 codes does R85.615 map to? +
Per CMS GEMs, R85.615 maps to ICD-9 codes: 79678. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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