Preventive Services: Screening for Cervical Cancer with Human Papillomavirus (HPV) Tests

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Screening for Cervical Cancer with Human Papillomavirus (HPV) Tests: 

HCPCS/CPT Codes

ICD-10 Codes

Z11.51 and either Z01.411 or Z01.419

Who Is Covered

All asymptomatic female Medicare beneficiaries aged 30 to 65 years

Frequency

Once every 5 years

Medicare Beneficiary Pays

• Copayment/coinsurance waived
• Deductible waived

 Other Notes

• Refer to Screening for Cervical Cancer with Human Papillomavirus (HPV) Testing – National Coverage Determination (NCD) 210.2.1 for more information.

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.

• CMS: Preventive Services Chart | Medicare Learning Network

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