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Preventive Services: Hepatitis B Virus (HBV) Vaccine and Administration

By:  Find-A-Code
Published:  September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Hepatitis B Virus (HBV) Vaccine and Administration: 

HCPCS/CPT Codes

90739 - Hepatitis B vaccine (HepB), adult dosage, 2 dose schedule, for intramuscular use
90740 - Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use
90743 Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use
90744 - Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use
90746 - Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use
90747 - Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use
G0010 - Administration of hepatitis B vaccine

ICD-10 Codes

Z23

Who Is Covered

Certain Medicare beneficiaries at intermediate or high risk for contracting hepatitis B

NOTE: Intermediate and high risk is defined in the Medicare Benefit Policy Manual, Chapter 15, Section 50.4.4.2 – Immunizations

NOTE: Medicare beneficiaries who are currently positive for antibodies for hepatitis B are not eligible for this benefit

Frequency

Scheduled dosages required

Medicare Beneficiary Pays

  • Copayment/coinsurance waived
  • Deductible waived

Other Notes


Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.


References:

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