Laboratory Question for the Week of March 14, 2016

Laboratory Compliance Question of the Week

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/

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.