But if you're using it as a way to prevent people from using known-breached passwords on a site/service, it's really not worth worrying about. False positives would only be a problem when the user is using bad password practices anyway. If it's a non-shared, random password like it should be, a tiny chance of blocking an acceptable one is fine. They can just generate another one, it's an extremely minor inconvenience at worst.
Just include a note in the error message saying something like, "In very rare cases, this could be a false positive. Even if it is, you must choose a different password." The 0.1% of users it impacts (or whatever your error rate is) will be fine.