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June 25, 2021

CGS is Retiring Policy L34089 Human Papillomavirus (HPV) Testing

CGS Administrators will be retiring policy L34089 Human Papillomavirus (HPV) Testing effective July 1, 2021.

We wanted to let the provider community know of this change before being implemented, as this is a change from how we currently handle HPV testing codes.

The codes associated with this policy may be subject to coverage determinations under other Medicare policies such as local coverage determinations (LCD) or national coverage determinations (NCD).

In the absence of policy, the HPV test must still meet the reasonable and necessary provisions of the Social Security Act Title XVIII. Reasonable and necessary is defined in the IOM 100-08 Medicare Program Integrity Manual, Chapter 3, Section Reasonable and Necessary CriteriaExternal pdf.


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