2025 HPV Coding Updates

February 25, 2025

The AMA identified codes 87624 and 87625 as lacking the necessary level of specificity to differentiate between qualitative testing of HPV as pooled results of high-risk types and genotyping for high-risk types in a single analysis. The 2025 CPT® update introduces new CPT code 87626, replacing Category III code 0500T, to address this detail.

New: 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)

Revised: 87624 Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result

No Change: 87625 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed

Reporting Notes:
•    Code 87624 is used when testing for high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68) as a single, pooled result. Code 87624 is also the default code used when both low- and high-risk types are tested within a single assay. 
•    Code 87625 is used when testing for singular HPV types 16 and 18 only, and includes type 45, if performed. 
•    Code 87626 when testing for singular test results for high-risk types 16, 18, 31, 45, 51 and 52 with a high-risk pooled result(s).

CPT Code

High-Risk HPV Results

What it detects

87624

 

Pooled only

Detects a group of high-risk HPV types but does not identify specific genotypes.

87625

Types 16 & 18 only

Detects only HPV 16 and 18, including type 45 if performed.

87626 - NEW

Separate and pooled results

Identifies specific high-risk HPV types (e.g., 16, 18, 31, 45, 51, 52) while also providing a pooled result.

The team at APS will continue to monitor and communicate updates as they apply to pathology billing. 

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