F50.81 - Binge eating disorder

Clinical Definition

Atypical squamous cells of undetermined significance (ASC-US) refers to cellular changes seen on a cervical Pap smear that are suggestive but not definitively diagnostic of squamous intraepithelial lesions. These changes are more marked than purely reactive changes but insufficient for a definitive diagnosis of squamous intraepithelial lesion.

Documentation Requirements

• Clear statement of ASC-US finding on Pap smear result

• Date of specimen collection

• Whether this is:

  • Initial finding

  • Persistent/recurrent finding

• Documentation of:

  • HPV testing status/results (if performed)

  • Prior Pap smear history

  • Risk factors present

• Follow-up plan and timing

• Patient notification method

Common Synonyms

• Abnormal Pap smear

• Inconclusive Pap test

• Pre-cancerous cells

• Borderline changes

• ASCUS

Coding Conflicts

Excludes1:

• High-grade squamous intraepithelial lesion (HSIL)

• Low-grade squamous intraepithelial lesion (LSIL)

• Atypical squamous cells cannot exclude HSIL (ASC-H)

Scribing.io Automation

The AI scribe automatically:

• Identifies key phrases indicating ASC-US in Pap results

• Tags temporal relationships for initial vs. follow-up findings

• Captures HPV co-testing results

• Highlights risk factors mentioned during visit

• Documents patient education and follow-up planning

• Links to previous Pap results for tracking progression

• Flags cases requiring expedited follow-up based on risk factors