CPT code 90650 is an FDA-approved HPV vaccine for females only age 9-26. For recipients age 9-18, code 90650 is reimbursed through the VFC program. The three-dose schedule for either code for recipients over age 18 must begin and end before the recipient turns 27.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
Group 1CodeDescriptionZ11.51*Encounter for screening for human papillomavirus (HPV)
encounter for a vaccinationCode Z23 is used to indicate any encounter for a vaccination. The procedure codes are used to identify the type of the immunization given and how it was administered.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
ICD-10 Code for Cervical high risk human papillomavirus (HPV) DNA test positive- R87. 810- Codify by AAPC.
Z01.411. Encounter for gynecological examination (general) (routine) with abnormal findings Use this code if pap smear is a part of a routine gynecological examination.
Gardasil 9 is an HPV vaccine approved by the U.S. Food and Drug Administration and can be used for both girls and boys. This vaccine can prevent most cases of cervical cancer if the vaccine is given before girls or women are exposed to the virus.
Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z23 became effective on October 1, 2021.
R87. 810 - Cervical high risk human papillomavirus (HPV) DNA test positive | ICD-10-CM.
A search in your electronic health record will often find HCPCS code Q0091, “Screening Papanicolaou smear; obtaining, preparing, and conveyance of cervical or vaginal smear to laboratory.” Here's when to use (and when not to use) that code.
ICD-10 Code for Unspecified abnormal cytological findings in specimens from cervix uteri- R87. 619- Codify by AAPC.
ICD-10 Code for Papillomavirus as the cause of diseases classified elsewhere- B97. 7- Codify by AAPC.