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ICD-10 Guide
ICD-10 CodesR87.821

R87.821

Vaginal low risk human papillomavirus (HPV) DNA test positive

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

Code Description

ICD-10 R87.821 is a billable code used to indicate a diagnosis of vaginal low risk human papillomavirus (hpv) dna test positive.

Key Diagnostic Point:

R87.821 is used to indicate a positive result from a vaginal low-risk human papillomavirus (HPV) DNA test. HPV is a common sexually transmitted infection, with certain strains classified as low-risk for causing cervical cancer. A positive test result suggests the presence of low-risk HPV types, which are typically associated with benign conditions such as genital warts. Clinically, patients may be asymptomatic or present with symptoms such as warts or abnormal cervical cytology. The significance of a positive low-risk HPV test lies in the need for monitoring and potential treatment of associated lesions, as well as patient education regarding HPV transmission and prevention. It is crucial for healthcare providers to document the context of the test result, including any symptoms, history of HPV-related conditions, and follow-up plans.

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 conditions
  • Navigating coding guidelines for HPV-related diagnoses

Audit Risk Factors

  • Inadequate documentation of test results and patient history
  • Failure to differentiate between low-risk and high-risk HPV
  • Incorrect linkage of procedures to diagnosis
  • Lack of follow-up documentation for positive test results

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the reason for testing, patient history, and any associated symptoms or findings.

Common Clinical Scenarios

Routine screening for HPV in sexually active women, follow-up after abnormal Pap smears.

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 any immediate interventions.

Common Clinical Scenarios

Patients presenting with genital warts or abnormal bleeding.

Billing Considerations

Emergency settings may require rapid assessment and treatment of acute symptoms related to HPV.

Coding Guidelines

Inclusion Criteria

Use R87.821 When
  • Coders should refer to the official ICD
  • CM guidelines for coding and reporting, ensuring that the code is used in the appropriate clinical context and that all relevant documentation is complete

Exclusion Criteria

Do NOT use R87.821 When
No specific exclusions found.

Related CPT Codes

87624CPT Code

HPV DNA test

Clinical Scenario

Used when a patient is tested for HPV as part of routine screening or follow-up.

Documentation Requirements

Documentation must include the reason for the test and any relevant patient history.

Specialty Considerations

Gynecologists and primary care providers should ensure accurate coding based on the test results.

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. R87.821 provides clarity in coding low-risk HPV findings, which is essential for patient management and epidemiological tracking.

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. R87.821 provides clarity in coding low-risk HPV findings, which is essential for patient management and epidemiological tracking.

Reimbursement & Billing Impact

reimbursement processes. R87.821 provides clarity in coding low-risk HPV findings, which is essential for patient management and epidemiological tracking.

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 high risk for cervical cancer but may require monitoring and treatment of any associated lesions.