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North Carolina Medicaid: Test for routine cervical cancer screenings
Act
immediately
Effective date
Dec 1, 2025
Identified
Jan 12, 2026
Summary
North Carolina Medicaid now covers FDA-approved self-collected high-risk HPV testing for routine cervical cancer screening in women ages 30-64 when cervical specimens cannot otherwise be obtained. Providers should use CPT codes 87624 or 87626 and follow specific patient eligibility criteria and result management guidelines.
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What to do
immediately · 3 steps
01Billing team should verify lab providers offer FDA-approved self-collection kits and ensure use of CPT codes 87624 or 87626 for self-collected hrHPV testing to meet HEDIS compliance.
02Providers must verify patient eligibility (ages 30-64, no symptoms, not HIV positive, no cervical cancer history) before offering self-collection option.
03Update encounter forms to include eligibility checklist and result management protocols.
Codes mentioned
8762487626
Original notice
North Carolina Medicaid: Test for routine cervical cancer screenings
uhcprovider.com · Always check the source before changing claims.