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ICD-10 Guide
ICD-10 CodesR85.82

R85.82

Anal low risk human papillomavirus (HPV) DNA test positive

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

Code Description

ICD-10 R85.82 is a billable code used to indicate a diagnosis of anal low risk human papillomavirus (hpv) dna test positive.

Key Diagnostic Point:

The ICD-10 code R85.82 is used to indicate a positive result for a low-risk human papillomavirus (HPV) DNA test specifically related to the anal region. HPV is a common sexually transmitted infection, with certain strains classified as low-risk, primarily associated with benign lesions such as genital warts. A positive test result indicates the presence of low-risk HPV types, which may not lead to cancer but can cause other benign conditions. Clinically, patients may present with no symptoms, or they may have visible warts or lesions. The significance of a positive low-risk HPV test lies in the need for monitoring and potential treatment of any associated lesions, as well as counseling regarding sexual health and prevention strategies. It is crucial for healthcare providers to document the context of the test, including any symptoms, risk factors, and follow-up plans, to ensure accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between low-risk and high-risk HPV types
  • Understanding the implications of a positive test result
  • Documenting associated symptoms or lesions
  • Navigating coding guidelines for HPV-related conditions

Audit Risk Factors

  • Inadequate documentation of test results and clinical context
  • Failure to differentiate between low-risk and high-risk HPV
  • Lack of follow-up documentation for positive test results
  • Misuse of the code in the absence of a positive test

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the reason for testing, results, and any associated symptoms or lesions.

Common Clinical Scenarios

Routine screening for HPV in patients with risk factors, follow-up after abnormal findings.

Billing Considerations

Consider the patient's sexual history and any previous HPV-related treatments.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with anal warts or other symptoms suggestive of HPV infection.

Billing Considerations

Rapid assessment and documentation are crucial in emergency settings.

Coding Guidelines

Inclusion Criteria

Use R85.82 When
  • According to ICD
  • 10 coding guidelines, R85
  • 82 should be used when a low
  • risk HPV DNA test is positive, and it is essential to document the clinical context and any related findings to support the diagnosis

Exclusion Criteria

Do NOT use R85.82 When
No specific exclusions found.

Related CPT Codes

87624CPT Code

HPV DNA test

Clinical Scenario

Used when testing for HPV types in patients with anal lesions or for screening.

Documentation Requirements

Document the reason for the test and any associated findings.

Specialty Considerations

Internal medicine and gynecology may frequently order this test.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of HPV-related conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of HPV-related conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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. It does not indicate a risk for cancer but may require monitoring and treatment of any associated lesions.