Patient presents with concerns regarding human papillomavirus HPV infection.  Patient reports learning of a positive HPV test result HPV DNA or HPV antibody and seeks further evaluation and counseling regarding HPV treatment and management.  Depending on the specific HPV type detected high risk HPV or low risk HPV and the presence or absence of associated lesions genital warts cervical dysplasia or other HPV related conditions the patient may exhibit symptoms such as visible warts abnormal Pap smear results or be asymptomatic.  Relevant history includes sexual history smoking history vaccination status HPV vaccine Gardasil Cervarix and prior abnormal cytology or histology.  Physical examination may reveal clinically evident warts or be unremarkable.  Diagnosis of HPV infection is confirmed by HPV testing including HPV DNA testing or HPV antibody testing.  Differential diagnoses considered include other sexually transmitted infections STIs such as herpes simplex virus HSV or condyloma lata.  Plan includes patient education regarding HPV transmission prevention and available treatment options.  Depending on the specific HPV type and clinical presentation treatment may include topical medications cryotherapy surgical excision or observation.  Patient counseling addresses the importance of regular screening Pap smears HPV testing and safe sex practices.  Follow up is recommended to monitor for any changes or development of HPV related complications.  ICD-10 codes for HPV infection may include A63.0 anogenital warts B97.7 HPV as the cause of diseases classified elsewhere or other relevant codes depending on the specific manifestation.  CPT codes for relevant procedures such as colposcopy biopsy or cryotherapy should be documented as appropriate.  Patient education materials on HPV prevention transmission and treatment were provided.