Delivering Quality Care: Cervical Cancer Screening May Save a Life

Mar. 31, 2021

To support quality care, we are providing information to providers and members to encourage discussions on health topics. Watch for more on health care quality in News and Updates.

Cervical cancer was once one of the most common causes of cancer deaths for women in the U.S. It is now the most preventable gynecological cancer, and the only one with both screening tests and a vaccine. Encourage our members to talk with you about having human papillomavirus (HPV) or Pap tests to screen for cervical cancer.

Why is cervical cancer screening important?

Cervical cancer is a slow-growing cancer that usually starts without symptoms. It is mainly caused by HPV Learn more about third-party links. Regular screenings can detect cancer early, even before symptoms start. When cervical cancer is detected at an early stage, the five-year survival rate is over 90%. Learn more from the Centers for Disease Control and Prevention (CDC) Learn more about third-party links.

Closing care gaps

The U.S. Preventive Services Task Force Learn more about third-party links recommends screening all women starting at age 21. Cervical cancer screening is a Health Effectiveness Data Information Set (HEDIS®) measure developed by the National Committee for Quality Assurance (NCQA) Learn more about third-party links. The NCQA uses the following criteria for screenings:

  • Women ages 21 to 64 who had cervical cytology performed within the last 3 years
  • Women ages 30 to 64 who had either:
    • cervical high-risk human papillomavirus (hrHPV) testing within the last 5 years or
    • cervical cytology/high-risk human papillomavirus (hrHPV) cotesting within the last 5 years

View our preventive care guidelines on cervical cancer screenings.

Best practices

Share member-friendly resources, and talk with members about risk reduction and prevention Learn more about third-party links such as:

  • Having regular screenings starting at age 21
  • Considering the HPV vaccine through age 45
  • Limiting sexual partners
  • Using condoms during sex
  • Stopping smoking

Best practices also include using the proper codes when filing claims. Proper coding can help identify gaps in care, provide accurate data and streamline your administrative processes.

The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.

HEDIS is a registered trademark of the NCQA.

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