This is what I would code:
E/M--795.04, 079.4, plus a Dx code for whatever STD symptoms she was experiancing, if any.
Reasoning being that HGSIL was the patient's most prominant diagnosis on the previous path report. HPV positive is a secondary diagnosis, and the 795.05 is trumped by the 795.04.
Once the HGSIL is cleared after 3 "normal" paps if the practitioner wants to continue follow up paps on more than an annual basis then the diagnosis code on those future, hypothetical paps would be 795.05 unless the patient presents with a new, more serious diagnosis.
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