How frequently does Medicare cover Sexually Transmitted Infections (STIs) Screening?

Question:


How frequently does Medicare cover Sexually Transmitted Infections (STIs) Screening?


Answer:

Sexually Transmitted Infections (STIs) Screening and High Intensity Behavioral Counseling (HIBC) to Prevent STIs. 

Frequency:

  • One annual occurrence of screening for chlamydia, gonorrhea, and syphilis in women at increased risk who are not pregnant
  • One annual occurrence of screening for syphilis in men at increased risk
  • Up to two occurrences per pregnancy of screening for chlamydia and gonorrhea in pregnant women who are at increased risk for STIs and continued increased risk for the second screening
  • One occurrence per pregnancy of screening for syphilis in pregnant women; up to two additional occurrences in the third trimester and at delivery if at continued increased risk for STIs
  • One occurrence per pregnancy of screening for hepatitis B in pregnant women; one additional occurrence at delivery if at continued increased risk for STIs
  • Up to two 20-30 minute, face-to-face HIBC sessions annually

Source:

CMS IOM, Publication 100-04, Chapter 18, Section 170 

CMS NCD 210.10 


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