Anal high risk human papillomavirus (HPV) DNA test positive
ICD-10 R85.81 is a billable code used to indicate a diagnosis of anal high risk human papillomavirus (hpv) dna test positive.
The ICD-10 code R85.81 is used to indicate a positive result from an anal high-risk human papillomavirus (HPV) DNA test. This finding is significant as it suggests the presence of high-risk HPV types that are associated with an increased risk of anal dysplasia and anal cancer. Patients may be asymptomatic or may present with symptoms such as anal discomfort, bleeding, or changes in bowel habits. The detection of high-risk HPV is crucial for early intervention and management, particularly in high-risk populations such as those with a history of anal intercourse, immunocompromised individuals, or those with a history of cervical dysplasia. The clinical context surrounding a positive HPV DNA test includes the need for further diagnostic evaluation, such as anal Pap smears or biopsies, to assess for potential precancerous lesions or malignancy. Regular screening and follow-up are essential components of care for patients with a positive HPV test to mitigate the risk of progression to cancer.
Documentation should include patient history, risk factors for HPV, and any symptoms present. Follow-up plans and results of any additional tests should also be documented.
Patients presenting for routine screening, those with a history of anal dysplasia, or those with immunocompromised status.
Consider the patient's overall health status and any comorbidities that may affect management.
Acute care documentation should include presenting symptoms, any immediate interventions, and plans for follow-up testing or referrals.
Patients presenting with acute anal pain, bleeding, or other symptoms potentially related to HPV.
Emergency settings may require rapid assessment and referral to specialists for further evaluation.
Used when a patient is tested for high-risk HPV types.
Document the reason for testing and any relevant patient history.
Ensure that the test is indicated based on clinical guidelines.
A positive R85.81 indicates the presence of high-risk HPV types in the anal region, which may require further evaluation and monitoring for potential dysplasia or cancer.
