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v1.0.0
ICD-10 Guide
ICD-10 CodesR87.820

R87.820

Cervical low risk human papillomavirus (HPV) DNA test positive

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R87.820 is a billable code used to indicate a diagnosis of cervical low risk human papillomavirus (hpv) dna test positive.

Key Diagnostic Point:

The ICD-10 code R87.820 is used to indicate a positive result for a cervical low-risk human papillomavirus (HPV) DNA test. Low-risk HPV types, such as HPV 6 and 11, are primarily associated with benign lesions, including genital warts and low-grade squamous intraepithelial lesions (LSIL). A positive test result indicates the presence of these low-risk HPV types in cervical cells, which may not necessarily lead to cervical cancer but can indicate the need for further monitoring and management. It is essential to differentiate between low-risk and high-risk HPV types, as the latter are associated with a higher risk of cervical cancer. The clinical context for this code often involves routine cervical cancer screening, where HPV testing is performed alongside Pap smears to assess the risk of cervical dysplasia. Proper documentation of the test results, patient history, and any follow-up actions taken is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between low-risk and high-risk HPV types
  • Need for comprehensive patient history and follow-up documentation
  • Potential for co-existing conditions affecting coding
  • Variability in clinical guidelines for management

Audit Risk Factors

  • Inadequate documentation of test results
  • Failure to differentiate between low-risk and high-risk HPV
  • Lack of follow-up care documentation
  • Incorrect coding due to misunderstanding of HPV types

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the reason for the HPV test, results, and any follow-up plans.

Common Clinical Scenarios

Routine screening for cervical cancer in women aged 21 and older.

Billing Considerations

Consideration of patient's sexual history and HPV vaccination status is important.

Emergency Medicine

Documentation Requirements

Acute care documentation should include the patient's presenting symptoms and rationale for HPV testing.

Common Clinical Scenarios

Patients presenting with abnormal vaginal bleeding or discharge.

Billing Considerations

Emergency settings may require expedited documentation and follow-up plans.

Coding Guidelines

Inclusion Criteria

Use R87.820 When
  • According to the official ICD
  • 10 coding guidelines, R87
  • 820 should be used when a cervical low
  • risk HPV DNA test is positive
  • Coders must ensure that the documentation supports the diagnosis and that the test results are clearly indicated in the medical record

Exclusion Criteria

Do NOT use R87.820 When
No specific exclusions found.

Related CPT Codes

87624CPT Code

HPV DNA test

Clinical Scenario

Used when a patient undergoes HPV testing as part of cervical cancer screening.

Documentation Requirements

Documentation of the test order, results, and any follow-up recommendations.

Specialty Considerations

In gynecology, ensure that the test is linked to the appropriate diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of HPV types, improving the accuracy of patient records and facilitating better tracking of HPV-related conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of HPV types, improving the accuracy of patient records and facilitating better tracking of HPV-related conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of HPV types, improving the accuracy of patient records and facilitating better tracking of HPV-related conditions.

Resources

Clinical References

  • •
    CDC HPV Information

Coding & Billing References

  • •
    CDC HPV Information

Frequently Asked Questions

What does a positive low-risk HPV test mean?

A positive low-risk HPV test indicates the presence of low-risk HPV types, which are generally associated with benign conditions like genital warts and low-grade cervical lesions. It does not indicate a high risk for cervical cancer, but monitoring and follow-up are recommended.