Coding dx for suspicion for high-grade squamous intraepithelial lesion

[cgarciamck87@gmail.com]

Good morning. A patient recently had a vaginal biopsy under anesthesia done. She has a history of cervical cancer. Biopsy was done due to patient complaining of postmenopausal bleeding and a recent PAP showing the presence of high risk HPV.

We received the pathology report. When submitting the coding for this procedure, would R87.621 be more appropriate since it's not stating confirmed?

 

[nielynco]

Good morning. A patient recently had a vaginal biopsy under anesthesia done. She has a history of cervical cancer. Biopsy was done due to patient complaining of postmenopausal bleeding and a recent PAP showing the presence of high risk HPV.

We received the pathology report. When submitting the coding for this procedure, would R87.621 be more appropriate since it's not stating confirmed?

If the result is normal, you code for the reason the procedure was performed.