Question:
What code should be used to report the HPV screening test to Medicare?
Answer:
To report this benefit, CMS created the following HCPCS level II code:
G0476 Infectious 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
When submitting claims for this code, be sure you also report the appropriate date-specific
diagnosis code as provided in MLN Matters Number MM9434 at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9434.pdf/.