Preventive Medicine: Human Papilomavirus (HPV) Vaccine and Screening

May 9th, 2018 - Find-A-Code™

Categories: CPT^® Coding Diagnosis Coding Modifiers Preventive Medicine Service

Human Papilomavirus (HPV) Vaccine and Screening

Procedure Codes
87623: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44)
87624: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)
87625: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed
90649: Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use
90650: Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use
90651: Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use

ICD-10-CM
87623-87625: Z00.00, Z00.01, Z01.411, Z01.419, Z11.51, Z12.4
90649-90651: Z23

Frequency
87623-87625: Every 3 years for women who are 30 or older who have normal pap smear
90649-90651: As scheduled

Additional Information

87623-87625

May require modifier 33

90649-90651

May not covered by Medicare
Requires a code for the administration as well (See general codes to find the appropriate one)

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.

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