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Updated Age and Frequency Restrictions for HPV Testing Codes

January 5, 2016

Effective for dates of service on or after October 1, 2015, human papillomavirus (HPV) testing codes 87624 (human papillomavirus, high-risk types) and 87625 (human papillomavirus, types 16 and 18 only, includes type 45, if performed) are reimbursable once every five years for recipients 30 through 65 years of age.

A Treatment Authorization Request (TAR) is required when billing HPV testing:

  • For recipients under 30 years of age
  • For recipients over 65 years of age
  • For testing frequency greater than once every five years.