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R87.810
ICD-10-CM
Human Papillomavirus Positive

Find comprehensive information on Human Papillomavirus Positive diagnosis, including HPV positive medical coding, clinical documentation best practices, and healthcare guidance. Learn about HPV diagnosis codes, ICD-10 codes for HPV, HPV positive treatment, and managing HPV infection. This resource provides essential information for healthcare professionals, clinicians, and patients seeking accurate details on HPV positive diagnosis and care.

Also known as

HPV Positive
HPV DNA Positive

Diagnosis Snapshot

Key Facts
  • Definition : A common viral infection often sexually transmitted, some types cause genital warts or can lead to cancer.
  • Clinical Signs : Often asymptomatic, but can present with genital warts, abnormal Pap smear, or precancerous lesions.
  • Common Settings : Primary care, gynecology, dermatology, sexual health clinics, planned parenthood.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R87.810 Coding
B97.7

Other viral agents as the cause

Identifies HPV infection as the cause of a disease.

A63.0

Anogenital (venereal) warts

Specific to visible warts caused by HPV infection.

C51-C58

Malignant neoplasm of female genital organs

Includes cancers linked to HPV, like cervical cancer.

C60-C63

Malignant neoplasm of male genital organs

Includes penile and anal cancers potentially caused by HPV.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is HPV infection confirmed by a test?

  • Yes

    Are there any apparent manifestations?

  • No

    Do not code HPV. Code presenting symptoms only.

Code Comparison

Related Codes Comparison

When to use each related code

Description
HPV Positive
Genital Warts
Cervical Dysplasia

Documentation Best Practices

Documentation Checklist
  • HPV positive diagnosis code
  • HPV test type documented
  • Anatomical site of HPV infection
  • Grade/severity if applicable
  • Management plan documented

Coding and Audit Risks

Common Risks
  • Unspecified HPV Type

    Coding HPV positive without specifying the type (e.g., 16, 18) when documented, impacting risk adjustment and quality metrics.

  • HPV Test Type Confusion

    Incorrectly coding HPV DNA vs. RNA or antibody tests, leading to inaccurate clinical data and potential billing errors.

  • Site Laterality Missing

    Omitting laterality (left, right, bilateral) for HPV diagnosis when relevant (e.g., cervical HPV), impacting accurate tracking and treatment.

Mitigation Tips

Best Practices
  • ICD-10 A63.0, HPV testing vital for early detection, CDI of sexual history.
  • Complete colposcopy documentation key for HPV+ staging, Z12.81 preventive care.
  • Patient education on HPV transmission, safe sex, compliance with follow-up crucial.
  • HPV vaccination: code Z23, encourage for all eligible, document refusal reasons.
  • Timely abnormal cytology follow-up after HPV diagnosis ensures quality patient care.

Clinical Decision Support

Checklist
  • Confirm HPV positive lab result (ICD-10: B97.7)
  • Document HPV test type and location
  • Review patient's sexual history and risk factors
  • Assess for related symptoms (e.g., genital warts)

Reimbursement and Quality Metrics

Impact Summary
  • HPV Positive Diagnosis Reimbursement: Maximize claims accuracy with proper ICD-10 coding (e.g., B97.7, A63.0) for optimal payment. Focus on medical billing compliance for HPV tests and related procedures.
  • Quality Metrics Impact: HPV vaccination rates influence HEDIS measures. Accurate coding impacts public health reporting and quality improvement initiatives.
  • Coding Accuracy: Correctly coding HPV infections (e.g., latent vs. active) ensures appropriate reimbursement and avoids claim denials.
  • Hospital Reporting: Accurate HPV diagnosis data is crucial for epidemiological studies, cancer screening programs, and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code HPV type, if known
  • Document test method
  • Confirm positive diagnosis
  • Link dysplasia to HPV
  • Check medical necessity

Documentation Templates

Patient presents with concerns regarding human papillomavirus HPV infection.  Patient reports learning of a positive HPV test result.  Specific HPV type confirmed or tested for should be documented if available e.g. HPV 16, HPV 18,  or other high-risk HPV types.  Patient history includes relevant sexual history details such as age of first sexual intercourse, number of partners, and history of sexually transmitted infections STIs.  Review of systems includes questions regarding genital warts, abnormal Pap smear results, cervical dysplasia, or other HPV-related symptoms.  Physical examination findings including the presence or absence of genital warts or other lesions are documented.  Diagnosis of human papillomavirus infection is confirmed by positive HPV DNA or RNA test.  Differential diagnoses may include other STIs or benign genital lesions.  Plan includes patient education regarding HPV transmission, natural history, and potential health risks including cervical cancer and other HPV-associated cancers.  Discussion of HPV vaccination for eligible patients and their partners is documented.  Colposcopy referral for abnormal Pap smears or high-risk HPV types is considered.  Follow-up recommendations are provided based on individual patient risk factors and test results.  Patient counseling addresses safe sex practices and the importance of regular cervical cancer screening.  ICD-10 codes such as B97.7  and relevant CPT codes for procedures performed e.g. colposcopy  are documented for medical billing and coding purposes.  This documentation supports appropriate healthcare resource utilization and facilitates accurate medical record keeping within the electronic health record EHR system.