Hepatitis B Virus (HBV) Vaccine and Administration

HCPCS/CPT Codes

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

Covered ICD-10 Codes for CPT 90739, 90740, 90743, 90744, 90746, 90747

The specified below ICD codes are covered for CPT G0472 and may not be limited and some private payers have own specific guidelines,

• Z23         Encounter for immunization
• R74.01 Elevation of levels of liver transaminase levels
• Z71.84 Encounter for health counseling related to travel

Covered ICD-10 Codes for CPT G0010

The specified below ICD codes are covered for CPT G0472 and may not be limited and some private payers have own specific guidelines,

• B16.0 Acute hepatitis B with delta-agent with hepatic coma
• B16.1 Acute hepatitis B with delta-agent without hepatic coma
• B16.2 Acute hepatitis B without delta-agent with hepatic coma
• B16.9 Acute hepatitis B without delta-agent and without hepatic coma
• B17.0 Acute delta-(super) infection of hepatitis B carrier
• B17.8 Other specified acute viral hepatitis
• B17.9 Acute viral hepatitis, unspecified
• B18.0 Chronic viral hepatitis B with delta-agent
• B18.1 Chronic viral hepatitis B without delta-agent
• B18.8 Other chronic viral hepatitis
• B18.9 Chronic viral hepatitis, unspecified
• B19.10 Unspecified viral hepatitis B without hepatic coma
• B19.11 Unspecified viral hepatitis B with hepatic coma
• K73.9 Chronic hepatitis, unspecified
• K75.2 Nonspecific reactive hepatitis
• Z28.04 Immunization not carried out because of patient allergy to vaccine or component
• Z88.7 Allergy status to serum and vaccine

Who Is Covered

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

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

• Co-payment/coinsurance waived
• Deductible waived