In March of 2024- FDA apprpved a self collecting HPV test.
It is a self collected HPV testing in a healthcare setting- patient uses a swab or brush in a private room (like in a doctor’s office) to collect their own vaginal sample for cervical cancer screening.
As of May 1st 2025, NC Medicaid added a new code 87624 or 87626.
87624- (2020) (infectious agent detection by nucleic acid [DNA or RNA]; Human Papillomavirus [HPV], high risk types) is eligible for reimbursement only when billed with ICD-10-CM diagnosis code Z11.51
87626- Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s)
Eligibility:
-Only ages 30–64 years for routine cervical cancer screening
-No symptoms of abnormal bleeding, no active menstrual bleeding or use of vaginal products within 2 days
-Not HIV positive
-No history of cervical cancer
-Asymptomatic and eligible for primary HPV testing
Follow up recommendations based on the results:
-HPV negative – Repeat screening in 3 years
-HPV 16 or HPV 18 detected – Refer or return visit for colposcopy
-HPV types 56/59/66 detected with extended genotyping – Retest in 1 year at clinician’s discretion
-Other HPV detected with extended (or without) extended genotyping – Return visit for clinician-collected cervical specimen for cytology or dual stain
Resources:
1.American Cancer Society: -https://cervicalroundtable.org/wp-content/uploads/2024/10/Self-Collection-Clinician-Communication-Guide.pdf
2. National Cancer Institute guidelines: https://dceg.cancer.gov/news-events/news/2025/self-collection-hpv-testing
3. NC Medicaid-
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