Back to Preventive Services Home Page

Screening for Cervical Cancer with Human Papillomavirus (HPV) Tests (NCD 210.2.1)

HCPCS/CPT Codes


G0476Cervical 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

Frequency


Once every 5 years

Beneficiary Pays


  • Copayment/coinsurance waived
  • Deductible waived

Other Notes



Back to Preventive Services Home Page