ICD-10 Coding for Human Papillomavirus(Z11.51, R87.810, Z23)
Complete ICD-10-CM coding and documentation guide for Human Papillomavirus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Human Papillomavirus
Z11-Z12Primary Range
Encounter for screening for infectious and parasitic diseases
This range includes codes for screening encounters, including HPV screening.
Abnormal findings in specimens from female genital organs
This range includes codes for abnormal test results related to HPV.
Viral agents as the cause of diseases classified elsewhere
This range includes codes for identifying HPV as a causal organism.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z11.51 | Encounter for screening for human papillomavirus (HPV) | Use for routine HPV screening encounters. |
|
| R87.810 | Cervical high-risk human papillomavirus (HPV) DNA test positive | Use when high-risk HPV DNA is detected in cervical specimens. |
|
| Z23 | Encounter for immunization | Use for encounters where HPV vaccination is administered. |
|
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 HPV screening
Essential facts and insights about Human Papillomavirus
Primary ICD-10-CM Codes for human papillomavirus
Decision Criteria
clinical Criteria
- Patient is undergoing routine screening for HPV.
Applicable To
- Routine HPV screening
Excludes
- Diagnostic testing for HPV
Clinical Validation Requirements
- Documented reason for screening
- Patient age and risk factors
Code-Specific Risks
- Incorrect use for diagnostic purposes
Coding Notes
- Ensure documentation supports screening context.
R87.810 - Cervical high-risk human papillomavirus (HPV) DNA test positive
Use when high-risk HPV DNA is detected in cervical specimens.
Applicable To
- Positive high-risk HPV DNA test
Excludes
- Low-risk HPV types
Clinical Validation Requirements
- Laboratory confirmation of high-risk HPV DNA
Coding Notes
Ensure HPV type is documented if known.
Z23 - Encounter for immunization
Use for encounters where HPV vaccination is administered.
Applicable To
- HPV vaccination
Excludes
- Non-vaccine related encounters
Clinical Validation Requirements
- Documentation of vaccine administration
Coding Notes
Ensure vaccine lot number and site are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for gynecological examination (general) (routine) with abnormal findings
Z01.411Papillomavirus as the cause of diseases classified elsewhere
B97.7Human papillomavirus vaccine, 9-valent
90651Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Human Papillomavirus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z11.51.
Impact
Clinical: May affect patient management decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete information.
Mitigation Strategy
Always document HPV type if available.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health data reporting.
Mitigation Strategy
Use R87.810 for positive HPV test results.
Impact
Inadequate documentation for HPV screening encounters.
Mitigation Strategy
Ensure all screening details are documented, including test type and 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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Human Papillomavirus
Use these documentation templates to ensure complete and accurate documentation for Human Papillomavirus. These templates include all required elements for proper coding and billing.
Routine HPV Screening
Specialty: GynecologyRequired Elements
- Reason for screening
- Type of test performed
- Results and interpretation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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