Understand Rapid Plasma Reagin (RPR) test results, clinical significance, and medical coding. Find information on RPR test interpretation, syphilis diagnosis, treponemal tests, and healthcare documentation guidelines. Learn about RPR test procedure, sensitivity, specificity, and implications for patient care. Explore resources related to sexually transmitted infections (STIs), serologic testing, and laboratory medicine relevant to RPR testing and diagnosis.
Also known as
Unspecified sexually transmitted disease
RPR tests are used for syphilis, a sexually transmitted infection.
Other specified abnormal findings of blood chemistry
RPR is a blood test that can show abnormal results if positive.
Encounter for screening for syphilis
RPR is often used as a screening test for syphilis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is RPR test positive?
Yes
Is syphilis confirmed?
No
History of syphilis?
When to use each related code
Description |
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Syphilis screening test |
FTA-ABS test |
Darkfield microscopy |
Incorrect CPT code selection for RPR qualitative vs. quantitative or titer, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.
Separate billing for RPR with other syphilis tests when a single code is appropriate, leading to overcharges. Medical coding, CDI, healthcare compliance.
RPR testing without proper documentation of clinical indication or rationale, risking claim denials. Medical coding, CDI, healthcare compliance.
Rapid Plasma Reagin (RPR) test performed for syphilis screening. Patient presented with [mention specific symptoms, e.g., generalized rash, lymphadenopathy, fever, malaise, or asymptomatic for screening purposes]. Medical history includes [relevant past medical history, e.g., history of sexually transmitted infections, high-risk sexual behavior, pregnancy, or blood transfusion]. Physical examination revealed [relevant findings, e.g., presence of a painless chancre, macular or papular rash involving palms and soles, condyloma lata, or normal examination]. RPR titer was [quantitative result, e.g., 1:16, nonreactive]. Based on the RPR titer and clinical presentation, [state interpretation, e.g., suggestive of syphilis infection, consistent with treated syphilis, or negative for syphilis]. Differential diagnosis includes [list relevant differentials, e.g., other sexually transmitted infections, drug-induced rash, pityriasis rosea]. Plan includes [outline plan, e.g., confirmatory testing with Treponema Pallidum Particle Agglutination Assay (TP-PA) or Fluorescent Treponemal Antibody Absorption (FTA-ABS), treatment with benzathine penicillin G if positive, partner notification and screening, or follow-up RPR testing to monitor treatment response]. ICD-10 code [appropriate ICD-10 code based on presentation, e.g., A51.0 for early syphilis, A52.9 for syphilis unspecified, Z11.3 for encounter for screening for syphilis] and CPT code [appropriate CPT code, e.g., 86592 for RPR test] documented for medical billing and coding.