July 27, 2021
July 28th is World Hepatitis Day
July 28th is World Hepatitis Day. Hepatitis is the inflammation of the liver, caused by viral infections, bacterial infections, toxins, metabolic disorders, or vascular disorders. Symptoms range from non-existent to life threatening. The most common type of hepatitis is viral hepatitis. Per HHS, approximately 850,000 Americans have hepatitis B and approximately 2.4 million Americans have hepatitis C. It is also estimated that 67 % of those with hepatitis B and 51% of those with hepatitis C don’t even know that they have it. (Data and Trends|HHS.Gov, 2016). Screening and early diagnosis are crucial.
Medicare provides hepatitis B and C screenings and hepatitis B vaccinations for beneficiaries that meet certain criteria. Health care providers can talk their patients about these benefits and encourage them to schedule these screenings and vaccinations if they qualify.
Type of Service | HCPCS Code CPT Code |
Notes | Link on CMS Medicare Preventive Services Website |
---|---|---|---|
Hepatitis B Screening | HCPCS code G0499 CPT codes 86704 CPT code 86706 CPT code 87340 CPT code 87341 |
|
Hepatitis B Screening |
Hepatitis B Shot and Administration | CPT codes 90739, 90740, 90743, 90744, 90746, 90747 HCPCS code G0010 |
|
Hepatitis B Shot and Administration |
Hepatitis C Screening | HCPCS code G0472 |
|
Hepatitis C Screening |
Screening for Sexually Transmitted Infections (STIs) & High Intensity Behavioral Counseling (HIBC) to Prevent STIs | HCPCS codes 86631, 86632, 87110, 87270, 87320, 84790, 87491, 87810, 87800, 87590, 87591, 87850, 87800, 86592, 86593, 86780, 87340, 87341 G0445 |
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Screening for Sexually Transmitted Infections (STIs) & High Intensity Behavioral Counseling (HIBC) to Prevent STIs |
For more information:
- National Coverage Determination (NCD) for Screening for Hepatitis B Virus (HBV) Infection (210.6) (cms.gov)
- National Coverage Determination (NCD) for Screening for Hepatitis C Virus (HCV) in Adults (210.13) (cms.gov)
- National Coverage Determination (NCD) for Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs (210.10) (cms.gov)
- CMS Preventive Services website
- Medicare.gov Your Guide to Medicare Preventive Services
References:
- Preventive Services Chart | Medicare Learning Network® - CMS. Medicare Preventive Services.
https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html - Data and Trends | HHS.gov. (2016, June 7). Viral Hepatitis in the United States: Data and Trends.
https://www.hhs.gov/hepatitis/learn-about-viral-hepatitis/data-and-trends/index.html