Human immunodeficiency virus (HIV) screening
Certain Medicare beneficiaries without regard to perceived risk or who are at increased risk for HIV infection, including anyone who asks for the test, or pregnant women, are eligible for an HIV screening.
HCPCS/CPT codes
- 80081 – Obstetric panel (includes HIV testing)
- G0432 - Infectious agent antibody detection by Enzyme Immunoassay (EI) technique
- G0433 - Infectious agent antibody detection by Enzyme-Linked Immunosorbent Assay (ELIA) technique
- G0435 - Infectious agent antibody detection by rapid antibody test
- G0475 – HIV antigen/antibody, combination assay, screening
Frequency
- Annually for Medicare beneficiaries between the ages of 15 and 65 without regard to perceived risk
- Annually for Medicare beneficiaries younger than 15 and adults older than 65 who are at increased risk for HIV infection
- For Medicare beneficiaries who are pregnant, three times per pregnancy
- First, when a woman is diagnosed with pregnancy
- Second, during the third trimester
- Third, at labor, if ordered by the woman’s clinician
Deductible and coinsurance are waived for this service.
References