Is R87.81 a billable ICD-10-CM code?

No. R87.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R87.81 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).

What cannot be coded together with R87.81?

R87.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R87.81

R87.81 — High risk human papillomavirus (HPV) DNA test positive from female genital organs

Non-billable headerICD-10-CM

R87.81 is a non-billable header ICD-10-CM code for high risk human papillomavirus (hpv) dna test positive from female genital organs. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

anogenital warts due to human papillomavirus (HPV) (A63.0)
condyloma acuminatum (A63.0)

Risk adjustment

R87.81 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R87.81

2 child codes. Green means billable.

Related codes at this level

Codes that share R87.8. If R87.81 is not quite right, the correct code is usually one of these.

Questions about R87.81

Is R87.81 a billable ICD-10-CM code?: No. R87.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R87.81 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).
What cannot be coded together with R87.81?: R87.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.