From July 9, 2015, through December 31, 2016, code G0476 is only paid when billed by a laboratory entity.

Who Is Covered

All asymptomatic female Medicare beneficiaries aged 30 to 65 years

HCPCS/CPT Codes

G0476 -  Cervical cancer screening, all-inclusive HPV co-test with cytology (Pap smear) to detect HPV DNA or RNA sequences

ICD-10-CM Codes

Use either of the following:

   • 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

Frequency

Once every 5 years

Medicare Beneficiary Pays

   • Copayment waived

   • Coinsurance waived

   • Deductible waived

References