ICD-10 R87.616
Billable / SpecificSatisfactory cervical smear but lacking transformation zone
About ICD-10-CM R87.616
ICD-10-CM code R87.616 represents Satisfactory cervical smear but lacking transformation zone. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R87). The 2026 edition of ICD-10-CM R87.616 became effective on October 1, 2025.
Medicare LCD Coverage for R87.616
Local Coverage Determinations (LCDs) from CMS MACs that list R87.616 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 R87.616.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R87.616 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R87.616
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 R87.616 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 |
|---|---|---|
| R87.616 | 79507 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R87.616
Other codes in section R83-R89 (Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis).
ICD-10 R87.616, Billing FAQ
Is ICD-10 code R87.616 billable? +
Yes, R87.616 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does R87.616 map to? +
Per CMS GEMs, R87.616 maps to ICD-9 codes: 79507. 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 June 1, 2026.
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