ICD-10 Coding for Human Papillomavirus Infection(B97.7, R87.810)
Complete ICD-10-CM coding and documentation guide for Human Papillomavirus Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Human Papillomavirus Infection
B97.7Primary Range
Papillomavirus as the cause of diseases classified elsewhere
Used as a secondary code to indicate HPV as the causative agent.
Abnormal findings in specimens from female genital organs
Used for coding abnormal cervical and vaginal HPV DNA test results.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B97.7 | Papillomavirus as the cause of diseases classified elsewhere | Use as a secondary code when HPV is the causative agent of a condition. |
|
| R87.810 | Cervical high-risk HPV DNA test positive | Use for positive high-risk HPV DNA test results from cervical specimens. |
|
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 human papillomavirus infection
Essential facts and insights about Human Papillomavirus Infection
Primary ICD-10-CM Codes for human papillomavirus infection
Decision Criteria
clinical Criteria
- HPV confirmed as causative agent
Applicable To
- HPV as causative agent
Excludes
- HPV infection without specification of site
Clinical Validation Requirements
- HPV confirmed via PCR/DNA testing
Code-Specific Risks
- Cannot be used as a primary diagnosis.
Coding Notes
- Ensure linkage to the primary condition caused by HPV.
R87.810 - Cervical high-risk HPV DNA test positive
Use for positive high-risk HPV DNA test results from cervical specimens.
Applicable To
- High-risk HPV types 16/18 detected
Excludes
- Low-risk HPV types
Clinical Validation Requirements
- Positive high-risk HPV DNA test result
Coding Notes
Document specific HPV types detected.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for immunization
Z23Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Human Papillomavirus Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B97.7.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document specific HPV types., Use templates to ensure completeness.
Impact
Reimbursement: Claims may be denied if B97.7 is used alone., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always pair B97.7 with a primary code for the specific condition.
Impact
Incomplete documentation of HPV test results.
Mitigation Strategy
Use standardized templates for HPV test documentation.
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 Human Papillomavirus Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Human Papillomavirus Infection
Use these documentation templates to ensure complete and accurate documentation for Human Papillomavirus Infection. These templates include all required elements for proper coding and billing.
HPV Screening Visit
Specialty: GynecologyRequired Elements
- Reason for visit
- Test results
- Specific HPV types detected
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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