May 19 is Hepatitis Testing Day
May 19 is national “Hepatitis Testing Day” in the United States. The Centers for Disease Control and Prevention (CDC) says it will use this day as an opportunity to remind healthcare providers and the public who should be tested for chronic viral hepatitis.
Understand the Disease
Hepatitis is a liver disease that results from a viral infection. The most common types of viral strains in the United States are Hepatitis A, Hepatitis B, and Hepatitis C.
Hepatitis A is usually spread through fecal matter. It does not cause long-term infection. It can be prevented through vaccination.
Hepatitis B is usually spread through infected blood, semen, or another body fluid. The infection can last a few weeks (acute) or become a lifelong illness (chronic). It can be prevented through vaccination.
Hepatitis C is usually spread through blood. The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs.
CPT® vaccination 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
When billing Medicare Part B, vaccine administration code is HCPCS Level II G0010 Administration of hepatitis b vaccine.
Be sure to link diagnosis code ICD-9-CM V05.3 Need for prophylactic vaccination and inoculation against viral hepatitis (ICD-10 Z23 Encounter for immunization) to the procedure code.
Because Hepatitis vaccine is a preventive service, eligible beneficiaries may receive these services with no out-of-pocket costs.
For conditions of coverage, refer to Medicare National Coverage Determinations Manual Chapter 1, Part 4, section 210.10 – Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs.
Find a testing event near you or help build testing resources by registering your testing day event on the Hepatitis Testing Events page.
Participate in the CDC’s Be #HepAware Thunderclap on May 19 at 12 p.m. EDT/9 a.m. PDT.
Learn more about Hepatitis Awareness Month on the CDC website.
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