Cervical Cancer Screening with Human Papillomavirus (HPV) Tests - JE Part A

HCPCS/CPT Codes

G0476 - Cervical cancer screening, all-inclusive HPV co-test with cytology (Pap smear)

Frequency

Once every five years

Diagnosis Code

• Z11.51 - Encounter for screening for human papillomavirus; and
  • Z01.411 - Encounter for gynecological examination (general) (routine) with abnormal findings; or
  • Z01.419 - Encounter for gynecological examination (general) (routine) without abnormal findings

Coverage

• Female beneficiaries aged 30 - 65 years
• Asymptomatic

Payment

Copayment/coinsurance waived; Deductible waived

Noridian Medicare Portal

No

Resources

• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section 30.2.1
• CMS Medicare Preventive Services
• CMS National Coverage Determination (NCD) 210.2.1
• CMS Screening Pap Tests and Pelvic Examinations