ICD-10-CM Code R87.821

Vaginal low risk human papillomavirus (HPV) DNA test positive

Version 2020 Billable Code No Valid Principal Dx Diagnoses For Females Only OB/GYN

Valid for Submission

R87.821 is a billable code used to specify a medical diagnosis of vaginal low 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 R87.821 might also be used to specify conditions or terms like low risk human papillomavirus deoxyribonucleic acid test positive in specimen from vagina.

The code R87.821 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as abnormal female genital cytology.

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:R87.821
Short Description:Vaginal low risk HPV DNA test positive
Long Description:Vaginal low risk human papillomavirus (HPV) DNA test positive

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 R87.821 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

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

  • Low risk human papillomavirus deoxyribonucleic acid test positive in specimen from vagina

Diagnostic Related Groups

The ICD-10 code R87.821 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.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert R87.821 to ICD-9

  • 795.19 - Oth abn Pap smr vag/HPV (Approximate Flag)

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 female genital organs (R87)

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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