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ICD-10-CM 2027 diagnosis code

R85.81Anal high risk human papillomavirus (HPV) DNA test positive

✓ Billable / specific

R85.81 is a valid, billable ICD-10-CM code for anal high risk human papillomavirus (hpv) dna test positive. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About R85.81

R85.81 is the ICD-10-CM diagnosis code for anal high risk human papillomavirus (HPV) DNA test positive. It belongs to category R85 (abnormal findings in specimens from digestive organs and abdominal cavity), block R83-R89 (abnormal findings on examination of other body fluids, substances and tissues, without diagnosis) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R85.8 (other abnormal findings in specimens from digestive organs and abdominal cavity), R85.81 is specifically for anal high risk human papillomavirus (HPV) DNA test positive. Related codes cover anal low risk human papillomavirus (HPV) DNA test positive (R85.82) and other abnormal findings in specimens from digestive organs and abdominal cavity (R85.89).

Don't report R85.81 together with the conditions in its Excludes1 note: anogenital warts due to human papillomavirus (HPV) (A63.0) and condyloma acuminatum (A63.0).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 796.75 (anal high risk human papillomavirus (HPV) DNA test positive).

Coding notes

Excludes1Not coded here — never report together with this code
  • anogenital warts due to human papillomavirus (HPV) (A63.0)
  • condyloma acuminatum (A63.0)

Notes that apply from higher levels

Instructions written at a parent level also apply to R85.81.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to R85.81.

Codes whose notes reference R85.81

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 796.75Anal high risk human papillomavirus (HPV) DNA test positiveexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about R85.81

Is R85.81 billable?

Yes. R85.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R85.81 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R85.81 as a principal diagnosis.

Is R85.81 a CC or MCC?

No. R85.81 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R85.81 group to?

R85.81 is used in the MS-DRG v44.0 logic for MS-DRG 393 (Other Digestive System Diagnoses with MCC), MS-DRG 394 (Other Digestive System Diagnoses with CC) and MS-DRG 395 (Other Digestive System Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for R85.81?

The CMS General Equivalence Mappings map R85.81 to ICD-9-CM 796.75.