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ICD-10 Guide
ICD-10 CodesR87.810

R87.810

Cervical high risk human papillomavirus (HPV) DNA test positive

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

Code Description

ICD-10 R87.810 is a billable code used to indicate a diagnosis of cervical high risk human papillomavirus (hpv) dna test positive.

Key Diagnostic Point:

The ICD-10 code R87.810 is used to indicate a positive result from a cervical 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 cervical cancer. HPV is a sexually transmitted virus, and certain strains, particularly types 16 and 18, are known to cause cellular changes in the cervix that can lead to malignancy. A positive HPV DNA test does not indicate the presence of cancer but rather identifies individuals who may require further diagnostic evaluation, such as a Pap smear or colposcopy, to assess for precancerous lesions or cervical cancer. The clinical context of this code is crucial for guiding patient management and follow-up care, as it highlights the need for monitoring and potential intervention to prevent the progression to cervical cancer.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of test results and patient history.
  • Differentiation between high-risk and low-risk HPV types.
  • Understanding the implications of a positive test result for patient management.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the test results.
  • Failure to document follow-up actions taken after a positive test.
  • Misclassification of HPV type (high-risk vs. low-risk).
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Routine screening in women aged 30 and older, follow-up after abnormal Pap results.

Billing Considerations

Consideration of patient history, including sexual history and previous HPV vaccinations.

Emergency Medicine

Documentation Requirements

Acute care documentation should include the patient's presenting symptoms and any immediate interventions.

Common Clinical Scenarios

Patients presenting with abnormal vaginal bleeding or pelvic pain.

Billing Considerations

Emergency settings may require rapid assessment and documentation of HPV-related symptoms.

Coding Guidelines

Inclusion Criteria

Use R87.810 When
  • According to the official coding guidelines, R87
  • 810 should be used when a high
  • risk HPV DNA test is positive, and it is essential to document the specific type of HPV if known
  • Follow
  • up procedures and any related diagnoses should also be coded appropriately

Exclusion Criteria

Do NOT use R87.810 When
No specific exclusions found.

Related CPT Codes

87624CPT Code

HPV DNA test

Clinical Scenario

Used when a patient has a positive Pap smear and requires HPV testing.

Documentation Requirements

Document the reason for the test and the results.

Specialty Considerations

In gynecology, ensure that the patient's history and risk factors are well-documented.

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 findings, improving the accuracy of patient records and facilitating better tracking of HPV-related health outcomes.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    CDC HPV Information

Coding & Billing References

  • •
    CDC HPV Information

Frequently Asked Questions

What does a positive HPV DNA test mean?

A positive HPV DNA test indicates the presence of high-risk HPV types that can lead to cervical cancer. It does not mean that cancer is present but suggests the need for further evaluation.