2025 ICD-10-CM code B97.7
Papillomavirus as the cause of diseases classified elsewhere. This code is used to indicate that papillomavirus is the cause of a disease that is classified elsewhere in the ICD-10-CM.
Medical necessity for the use of B97.7 is established by the diagnosis of an HPV-related condition. The code itself does not have specific medical necessity requirements, but the primary diagnosis must be medically necessary and documented appropriately.
The clinician's responsibility is to diagnose the HPV-related condition, determine the appropriate ICD-10-CM code for the specific condition, and then use B97.7 as a supplementary code. It is crucial to document the diagnosis clearly and completely to support the coding.
In simple words: This code indicates that a person has a disease caused by the human papillomavirus (HPV) infection. HPV is a common virus that can cause various health problems, including genital warts and certain types of cancer. This code is used in addition to the code for the specific disease caused by HPV.
Papillomavirus as the cause of diseases classified elsewhere. This code is used as a supplementary code to identify papillomavirus as the causative agent of a disease that is classified to another chapter of ICD-10-CM. This code should not be used as the principal diagnosis.Human papillomavirus (HPV) infections are common. HPV can cause a variety of conditions, including genital warts, cervical cancer, and other cancers.This code is used when the primary diagnosis is a condition caused by HPV. Examples include:* Cervical cancer (C53.x)* Vulvar cancer (C51.x)* Vaginal cancer (C52.x)* Anal cancer (C21.x)* Penile cancer (C60.x)* Oropharyngeal cancers (C10.x)* Genital warts (A63.0)
Example 1: A patient is diagnosed with cervical cancer caused by HPV. The primary diagnosis code is C53.9 (Malignant neoplasm of cervix uteri, unspecified) and B97.7 is used as a secondary code to indicate HPV as the cause., A patient presents with genital warts. The diagnosis code is A63.0 (Anogenital (venereal) warts). Code B97.7 is added as a secondary code to indicate HPV infection., A patient is diagnosed with oropharyngeal cancer linked to HPV. The code C10.9 (Malignant neoplasm of oropharynx, unspecified) is the primary code, supplemented by B97.7 to specify the HPV infection.
Documentation should clearly state the diagnosis of the HPV-related condition, the causative agent (HPV), and any related procedures or treatments. Results of any diagnostic tests, such as HPV DNA tests or biopsies, should also be included.
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- Specialties:Infectious Disease, Gynecology, Oncology, Dermatology, Urology, Family Medicine, Internal Medicine, Pediatrics
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic, Federally Qualified Health Center