Facebook tracking pixelRapid Plasma Reagin Test - AI-Powered ICD-10 Documentation
R76.2
ICD-10-CM
Rapid Plasma Reagin Test

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

RPR Test
Non-treponemal test for syphilis

Diagnosis Snapshot

Key Facts
  • Definition : Blood test for syphilis. Detects antibodies against the bacteria.
  • Clinical Signs : Often asymptomatic. May include sores, rash, fever, fatigue.
  • Common Settings : Sexual health clinics, primary care, prenatal care.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R76.2 Coding
A64

Unspecified sexually transmitted disease

RPR tests are used for syphilis, a sexually transmitted infection.

R74.89

Other specified abnormal findings of blood chemistry

RPR is a blood test that can show abnormal results if positive.

Z11.3

Encounter for screening for syphilis

RPR is often used as a screening test for syphilis.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Syphilis screening test
FTA-ABS test
Darkfield microscopy

Documentation Best Practices

Documentation Checklist
  • RPR test ordered: indication documented (e.g., syphilis screening)
  • RPR titer value documented with units (e.g., RPR 1:16)
  • Specimen type and source documented (e.g., serum, blood)
  • Testing methodology documented (e.g., qualitative, quantitative)
  • Clinical interpretation of RPR result documented

Coding and Audit Risks

Common Risks
  • RPR Test Miscoding

    Incorrect CPT code selection for RPR qualitative vs. quantitative or titer, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.

  • Unbundling RPR Tests

    Separate billing for RPR with other syphilis tests when a single code is appropriate, leading to overcharges. Medical coding, CDI, healthcare compliance.

  • Lack of Medical Necessity

    RPR testing without proper documentation of clinical indication or rationale, risking claim denials. Medical coding, CDI, healthcare compliance.

Mitigation Tips

Best Practices
  • Document specific symptoms for RPR test medical coding accuracy.
  • Ensure proper ICD-10-CM syphilis codes for CDI compliance.
  • Follow CDC guidelines for RPR testing and healthcare compliance.
  • Correlate RPR with confirmatory tests for accurate diagnosis documentation.
  • Address biological false positives to improve RPR specificity in coding.

Clinical Decision Support

Checklist
  • Confirm suspected syphilis exposure history documented
  • Verify nontreponemal test order appropriateness
  • RPR titer result interpretation documented clearly
  • Follow-up treponemal test ordered if RPR reactive
  • False positive causes considered and documented

Reimbursement and Quality Metrics

Impact Summary
  • Rapid Plasma Reagin Test Reimbursement: CPT 86592, ICD-10 A51-A54 impacts accurate syphilis screening claims.
  • Coding accuracy: Correct RPR test coding maximizes syphilis testing reimbursement, reduces denials.
  • Hospital reporting: Accurate RPR data impacts public health syphilis surveillance, resource allocation.
  • Quality metrics: Timely RPR testing and treatment improve patient outcomes, reduce syphilis complications.

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
  • RPR test: Code 86592
  • Confirm with FTA-ABS: 86593
  • Dx syphilis? Code A51-A53
  • Neurosyphilis? G93.9
  • Latent syphilis? A52.x

Documentation Templates

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.