ICD-10 R85.81
Billable / SpecificAnal high risk human papillomavirus (HPV) DNA test positive
About ICD-10-CM R85.81
ICD-10-CM code R85.81 represents Anal high risk human papillomavirus (HPV) DNA test positive. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R85). The 2026 edition of ICD-10-CM R85.81 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R85.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- anogenital warts due to human papillomavirus (HPV) (A63.0)
- condyloma acuminatum (A63.0)
Medicare LCD Coverage for R85.81
Local Coverage Determinations (LCDs) from CMS MACs that list R85.81 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R85.81.
1 Cigna
CPT Codes Commonly Billed with R85.81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R85.81 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R85.81 | 79675 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R85.81
Other codes in section R83-R89 (Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis).
ICD-10 R85.81, Billing FAQ
Is ICD-10 code R85.81 billable? +
Yes, R85.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for R85.81? +
Type 1 Excludes (never code together with R85.81): anogenital warts due to human papillomavirus (HPV) (A63.0); condyloma acuminatum (A63.0)
What ICD-9 codes does R85.81 map to? +
Per CMS GEMs, R85.81 maps to ICD-9 codes: 79675. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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