Screening for Cervical Cancer with Human Papillomavirus (HPV) Tests (NCD 210.2.1)
HCPCS/CPT Codes
G0476 – Cervical cancer screening, all-inclusive HPV co-test with cytology (Pap smear) to detect HPV DNA or RNA sequencesInfectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test
ICD-10-CM (ICD-9-CM) Codes
Report one of the following codes:
Z11.51 and either Z01.411 or Z01.419
Encounter for screening for HPV – Z11.51 and Encounter for gynecological exam (general) (routine) with abnormal findings – Z01.411
Encounter for gynecological exam (general) (routine) without abnormal findings – Z01.419
Who Is Covered
All asymptomatic female Medicare beneficiaries aged 30 to 65 years