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Clarification: EWC Covered Procedures Quick Reference Sheets Update

October 9, 2019

A previously published article titled “EWC Covered Procedures Quick Reference Sheets Update” notified providers of updates to the Every Woman Counts (EWC) quick reference sheets. In addition to those updates, CPT code 87625 (infectious agent detection by nucleic acid [DNA or RNA]; Human Papillomavirus [HPV], types 16 and 18 only, includes type 45, if performed) was added to the following EWC quick reference sheets:

  • Breast and Cervical Primary Care Provider Covered Services (DHCS 8472)
  • Referral Provider Covered Procedures (DHCS 8473)

CPT code 10022 (fine needle aspiration; with imaging guidance) was also removed from the two sheets listed above as well as from the Breast Only Primary Care Provider Covered Procedures (DHCS 8471) quick reference sheet.

These forms can be found on the Every Woman Counts (EWC) Manuals, Forms and Worksheets page of the Medi-Cal website.

Additionally, the following CPT codes were erroneously excluded from Figure 3 in the Every Woman Counts section of the appropriate Part 2 manual: CPT codes 19286 (placement of breast localization device(s), percutaneous; each additional lesion, including ultrasound guidance), 87625 (infectious agent detection by nucleic acid [DNA or RNA]; Human Papillomavirus [HPV], types 16 and 18 only, includes type 45, if performed) and 88164 (cytopathology, slides, cervical or vaginal [the Bethesda System]; manual screening under physician supervision). These codes may be billed to EWC by referral providers.

Updated manual pages will be released in a future Medi-Cal Update.