ICD-10 Coding for Positive Human Papillomavirus(R87.810, R87.811)
Complete ICD-10-CM coding and documentation guide for Positive Human Papillomavirus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Positive Human Papillomavirus
R87.81Primary Range
Abnormal findings in specimens from female genital organs
This range includes codes for positive high-risk HPV DNA tests from cervical and vaginal sites.
Encounter for screening for human papillomavirus (HPV)
Used for preventive visits where HPV screening is performed.
Papillomavirus as the cause of diseases classified elsewhere
Used as an ancillary code when HPV is the causal organism for another condition.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R87.810 | Cervical high-risk human papillomavirus (HPV) DNA test positive | Use when a high-risk HPV DNA test is positive for a cervical specimen. |
|
| R87.811 | Vaginal high-risk human papillomavirus (HPV) DNA test positive | Use when a high-risk HPV DNA test is positive for a vaginal specimen. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for positive HPV
Essential facts and insights about Positive Human Papillomavirus
Primary ICD-10-CM Codes for positive human papillomavirus
Decision Criteria
clinical Criteria
- Positive high-risk HPV DNA test from cervical specimen
documentation Criteria
- Documentation must specify 'cervical' and 'high-risk HPV'
Applicable To
- Positive high-risk HPV DNA test from cervical site
Excludes
- Vaginal high-risk HPV (R87.811)
Clinical Validation Requirements
- Positive high-risk HPV DNA test result
- Cervical specimen
Code-Specific Risks
- Incorrect site documentation
- Missing test type specification
Coding Notes
- Ensure documentation specifies 'high-risk' and 'cervical' for accurate coding.
R87.811 - Vaginal high-risk human papillomavirus (HPV) DNA test positive
Use when a high-risk HPV DNA test is positive for a vaginal specimen.
Applicable To
- Positive high-risk HPV DNA test from vaginal site
Excludes
- Cervical high-risk HPV (R87.810)
Clinical Validation Requirements
- Positive high-risk HPV DNA test result
- Vaginal specimen
Coding Notes
Ensure documentation specifies 'high-risk' and 'vaginal' for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Papillomavirus as the cause of diseases classified elsewhere
B97.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Positive Human Papillomavirus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R87.810.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Train staff on documentation requirements., Use templates that prompt for specific details.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use R87.811 for vaginal high-risk HPV test results.
Impact
Risk of audits due to insufficient documentation of HPV test details.
Mitigation Strategy
Implement standardized documentation templates.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Positive Human Papillomavirus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Positive Human Papillomavirus
Use these documentation templates to ensure complete and accurate documentation for Positive Human Papillomavirus. These templates include all required elements for proper coding and billing.
Routine HPV Screening
Specialty: OB/GYNRequired Elements
- Specimen type
- Test methodology
- High-risk type specification
- Anatomic site
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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