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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
  • Review Medicare guidelines for criteria for beneficiary coverage
  • Specific frequency limitations for those at high and low risk
  • Copayment/Coinsurance waived
  • Deductible waived
Hepatitis B ScreeningExternal Website
Hepatitis B Shot and Administration CPT codes 90739, 90740, 90743, 90744, 90746, 90747
HCPCS code G0010
  • Medicare covers certain patients at immediate or high risk of contracting hepatitis.
  • Copayment/Coinsurance waived
  • Deductible waived
Hepatitis B Shot and AdministrationExternal Website
Hepatitis C Screening HCPCS code G0472
  • Review Medicare guidelines for criteria for beneficiary coverage
  • Specific frequency limitations for those at high and low risk
  • Copayment/Coinsurance waived
  • Deductible waived
Hepatitis C ScreeningExternal Website
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
  • Review Medicare guidelines for criteria for beneficiary coverage
  • Specific frequency limitations for those at high and low risk
  • Copayment/Coinsurance waived
  • Deductible waived
Screening for Sexually Transmitted Infections (STIs) & High Intensity Behavioral Counseling (HIBC) to Prevent STIsExternal Website

For more information:

References:

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