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MedicaidCoverageMedium impact

Arizona Medicaid: New test for routine cervical cancer screenings

UnitedHealthcare·AZ · OB-GYN, Family Medicine, Internal Medicine·State news
Effective date
Jul 17, 2025
We identified it
Jan 12, 2026
Days to comply

Summary

Arizona 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. Use CPT codes 87624 or 87626 for billing and follow specific patient eligibility criteria and result management guidelines.

Action Required

Action needed
Immediately: Billing team must verify lab providers have FDA-approved self-collection kits available. Update billing system to use CPT codes 87624 or 87626 for hrHPV self-collection testing. Clinical staff must verify patient eligibility (ages 30-64, asymptomatic, no HIV, no cervical cancer history) before offering self-collection. Update encounter forms to include eligibility checklist and result follow-up protocols.

Affected Billing Codes

87624
87626