EmblemHealth emphasizes cervical cancer screening as a quality measure for Cervical Health Awareness Month in January. The policy provides specific CPT and HCPCS billing codes for cervical cytology and HPV testing, along with screening timeframes and documentation requirements for women ages 21-64.
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01Billing team should verify correct use of specified CPT codes (88141-88175 series) and HCPCS codes (G0123, G0124, etc.) for cervical cytology and HPV testing.
02Ensure timely submission of claims and proper documentation of screening dates and results.
03Use Gap in Care reports to identify non-compliant patients and coordinate with providers to schedule appropriate screenings for quality measure compliance.
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