R87.810 is a valid billable ICD-10 diagnosis code for Cervical high risk human papillomavirus (HPV) DNA test positive . It is found in the 2020 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2019 - Sep 30, 2020 .
ICD-10-CM Code for High risk human papillomavirus (HPV) DNA test positive from female genital organs R87. 81.
Screening for malignant neoplasm of vagina (Z12. 72) Screening for HPV (V11. 51)
CPT code 90650 is an FDA-approved HPV vaccine for females only age 9-26. For recipients age 9-18, code 90650 is reimbursed through the VFC program. The three-dose schedule for either code for recipients over age 18 must begin and end before the recipient turns 27.
Group 1CodeDescriptionZ11.51*Encounter for screening for human papillomavirus (HPV)
For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient.
Z12.4 – Encounter for screening for malignant neoplasm of cervix*
Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
HCPCS code G0476 for Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test as maintained by CMS falls under Other Services .
Encounter for gynecological examination (general)Z01.411. Encounter for gynecological examination (general) (routine) with abnormal findings Use this code if pap smear is a part of a routine gynecological examination.
87591 - Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhea, amplified probe technique.
It is usually sufficient to test one specimen. Therefore, no more than one (1) unit of 87624 or 87625 for human papillomavirus molecular testing may be billed for the same date of service. More than one type of molecular test for the same organism will not be reimbursed for the same date of service.
HPV testing must be positive by viral detection tests in order to code as B97.7. R87.810 is not appropriate as there is no reference to this being cervical & it could very well be anal, but in either case neither are correct to use. That is unless it is documented, as coding based on assumption is not allowed.
For the HPV+ as long as it is officially documented by a physician as HPV+ you could could use B97.7. This is not to be confused with p16 positivity. HPV-positive is not equivalent to HPV mediated (p16+). HPV-type 16 refers to virus type and is different from p16 overexpression (p16+).
For men and women, anal cancer and genital warts are also a concern after a diagnosis of HPV. Anal cancer is coded as C21.- and genital warts are coded as A63.0 (anogenital warts). The CDC notes that there are 40 new cases of genital warts diagnosed every hour.
Other primary sites of cancer origination include the back of the throat or tonsils. HPV is also the virus that causes genital warts. The CDC states that 80 percent of people will get an HPV infection in their lifetimes.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy for L34089-Human Papillomavirus (HPV) Testing.
It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.