ICD-10-CM Code R85.81

Anal high risk human papillomavirus (HPV) DNA test positive

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R85.81 is a billable code used to specify a medical diagnosis of anal high risk human papillomavirus (hpv) dna test positive. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R85.81 might also be used to specify conditions or terms like human papilloma virus deoxyribonucleic acid test positive, high risk on anal specimen.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R85.81
Short Description:Anal high risk human papillomavirus (HPV) DNA test positive
Long Description:Anal high risk human papillomavirus (HPV) DNA test positive

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R85.81:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • anogenital warts due to human papillomavirus HPV A63.0
  • condyloma acuminatum A63.0

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R85.81 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Human papilloma virus deoxyribonucleic acid test positive, high risk on anal specimen

Diagnostic Related Groups

The ICD-10 code R85.81 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
  • 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
  • 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert R85.81 to ICD-9

  • 796.75 - Anal hi risk HPV-DNA pos

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
      • Abnormal findings in specimens from dgstv org/abd cav (R85)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


HPV

Human papillomaviruses (HPV) are a group of related viruses. They can cause warts on different parts of your body. There are more than 200 types. About 40 of those types affect the genitals. They are spread through sexual contact with an infected partner. Some of those can put you at risk for cancer.

There are two categories of sexually-transmitted HPV. Low-risk HPV can cause genital warts. High-risk HPV can cause various cancers:

  • Cervical cancer
  • Anal cancer
  • Some types of oral and throat cancer
  • Vulvar cancer
  • Vaginal cancer
  • Penile cancer

HPV infections are the most common sexually transmitted infections in the United States. Anyone who has ever been sexually active can get HPV, but you are more likely to get it if you have had many sex partners or have had sex with someone who has had many partners. Because it is so common, most people get HPV infections shortly after becoming sexually active for the first time.

Some people develop genital warts from HPV infection, but others have no symptoms. Most high-risk HPV infections go away within 1 to 2 years and do not cause cancer. Some HPV infections, however, can persist for many years. Those infections can lead to cell changes that, if not treated, may become cancerous.

In women, Pap tests can detect changes in the cervix that might lead to cancer. Pap tests, along with HPV tests, are used in cervical cancer screening.

Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading HPV. The most reliable way to avoid infection is to not have anal, vaginal, or oral sex. Vaccines can protect against several types of HPV, including some that can cause cancer.

NIH: National Cancer Institute


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