2025 ICD-10-CM code Z11.51
Encounter for screening for human papillomavirus (HPV).
Medical necessity for HPV screening is determined by various factors, including age, gender, sexual history, and guidelines from organizations such as the American Cancer Society and the US Preventive Services Task Force.
The healthcare provider is responsible for performing the HPV screening and providing appropriate counseling and follow-up based on the results.
In simple words: This code is used when you visit a healthcare provider to get tested for HPV.
Encounter for screening for human papillomavirus (HPV). This code is used when a patient encounters health services specifically for HPV screening, regardless of whether they are experiencing symptoms.
Example 1: A 25-year-old female visits her gynecologist for a routine check-up and receives an HPV screening., A 30-year-old male with a history of genital warts visits his doctor for an HPV screening., A 40-year-old female with an abnormal Pap smear result undergoes an HPV screening to determine the underlying cause.
The medical record should document the reason for the HPV screening, the type of screening performed, and the results of the screening. Additional documentation may include patient history, risk factors, and any counseling or education provided.
** For co-testing with cytology and HPV, use Z12.81 or Z12.89.
- Payment Status: Active
- Specialties:Family Medicine, Internal Medicine, Obstetrics and Gynecology, Urology
- Place of Service:Office, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital