ICD-10 Coding for Human Papillomavirus Positive(R87.810)
Complete ICD-10-CM coding and documentation guide for Human Papillomavirus Positive. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Human Papillomavirus Positive
R87.81-R87.82Primary Range
Abnormal findings in specimens from female genital organs
This range includes codes for abnormal findings related to HPV DNA testing in cervical specimens.
Papillomavirus as the cause of diseases classified elsewhere
This code is used to specify HPV as the causal organism in conjunction with other codes.
Key Information: ICD-10 code for HPV positive
Essential facts and insights about Human Papillomavirus Positive
Primary ICD-10-CM Code for human papillomavirus positive
Decision Criteria
clinical Criteria
- Positive high-risk HPV DNA test
documentation Criteria
- Reflex cytology results documented
Applicable To
- High-risk HPV DNA detected
Excludes
- Low-risk HPV types
Clinical Validation Requirements
- Positive high-risk HPV DNA test result
- Reflex cytology results
Code-Specific Risks
- Incorrectly using as a principal diagnosis when a definitive condition exists.
Coding Notes
- Ensure documentation specifies high-risk HPV and includes reflex cytology results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Human Papillomavirus Positive to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R87.810.
Impact
Clinical: Lack of specificity may affect patient management., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims due to insufficient documentation.
Mitigation Strategy
Always specify high-risk or low-risk HPV in documentation., Include reflex cytology results.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code the definitive condition first, then use R87.810 as a secondary code.
Impact
Incomplete documentation of HPV test results and reflex cytology.
Mitigation Strategy
Implement standardized templates for documenting HPV test results.
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 Positive, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Human Papillomavirus Positive
Use these documentation templates to ensure complete and accurate documentation for Human Papillomavirus Positive. These templates include all required elements for proper coding and billing.
Routine Screening with Positive HPV Result
Specialty: OB/GYNRequired Elements
- Patient age and gender
- Screening indication
- HPV test method
- HPV types detected
- Reflex cytology results
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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