Cervical Cancer Screening

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/preventive-care-services.pdf

Service:

USPSTF: United States Preventative Services Task Force

Age 21-29 Years

The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone.

Age 30-65 Years:

The USPST recommends:

• Screening every 3 years with cervical cytology alone,

• Every 5 years with high risk human papillomavirus (hrHPV) testing alone or

• Every 5 years with hrHPV testing in combination with cytology (co-testing).

Bright Futures:

Adolescents should no longer be routinely screened for cervical dysplasia until age 21

Also see Screening for Cervical Cancer in the Expanded Women's Preventative Heatlh Section.

Human Papillomavirus DNA Testing (HPV)

Procedure Code(s):

0502U, 87624, 87625, 87626, G0476

Diagnosis Code(s):

Z00.00, Z00.01, Z01.411, Z01.419, Z11.51, Z12.4

Preventive Benefit Instructions:

Age 30 years and up.

Requires one of the diagnosis codes listed above.

Cervical Cytology (Pap Test)

Procedure Code(s):

Code Group 1:

G0101, G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148, Q0091, P3000, P3001

Diagnosis Code(s)

Code Group 1:

Does not have diagnosis code requirements for preventative benefit to apply.

Procedure Code(s)

Code Group 2:

88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88155, 88164, 88165, 88166, 88167, 88174, 88175

Diagnosis Code(s)

Code Group 2:

Z00.00, Z00.01, Z01.411, Z01.419, Z12.4

Preventive Benefit Instructions:

Cervical Cytology (Pap Test)

Code Group 1:

• Limited to age 21-65 years (ends on the 66th birthday).

• Does not have diagnosis code requirements for preventative benefits to apply.

Code Group 2:

• Limited to age 21-65 years (ends on 66th     birthday)

• Requires one of the Code Group 2 diagnosis codes listed above.