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Cervical high risk human papillomavirus (HPV) DNA test positive
ICD10CM code
Name of the Condition
- Cervical High Risk Human Papillomavirus (HPV) DNA Test Positive
Summary
- The presence of high-risk types of HPV DNA in cervical cells. This typically indicates an increased risk of cervical cancer.
Causes
- Caused by infection with high-risk strains of the human papillomavirus (HPV), which is primarily spread through sexual contact.
Risk Factors
- Multiple sexual partners, early sexual activity, a weakened immune system, smoking, and prolonged use of oral contraceptives.
Symptoms
- Usually asymptomatic. HPV infection itself does not cause symptoms, but it can lead to cervical abnormalities that may eventually cause symptoms like unusual discharge or bleeding.
Diagnosis
- Diagnosed through a cervical screening test such as a Pap smear or an HPV DNA test, which detects high-risk HPV types.
Treatment Options
- No treatment for HPV itself, but monitoring and treatment of cervical changes may involve repeat testing, colposcopy, or procedures to remove affected tissue (e.g., LEEP or cryotherapy).
Prognosis and Follow-Up
- With appropriate monitoring and treatment of precancerous changes, the prognosis is generally good. Regular follow-up is crucial to detect any progression early.
Complications
- If untreated, persistent high-risk HPV infections can cause cervical dysplasia, which may progress to cervical cancer.
Lifestyle & Prevention
- Vaccination against HPV, practicing safe sex, regular cervical screening, and avoiding smoking can reduce the risk of high-risk HPV infections.
When to Seek Professional Help
- Seek medical advice if experiencing symptoms such as unusual vaginal bleeding, pelvic pain, or abnormal discharge.
Additional Resources
Tips for Medical Coders
- Ensure accuracy by confirming the test is positive for high-risk HPV strains.
- Be mindful of differentiating between 'unspecified' HPV and high-risk HPV when coding.