Hepatitis B Virus (HBV) Vaccine and Administration - JE Part A

HCPCS/CPT Codes

• 90739 - Hepatitis B vaccine, adult dosage (two dose schedule), for intramuscular use
• 90740 - Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (three dose schedule), for intramuscular use
• 90743 - Hepatitis B vaccine, adolescent (two dose schedule), for intramuscular use
• 90744 - Hepatitis B vaccine, pediatric/adolescent dosage (three dose schedule), for intramuscular use
• 90746 - Hepatitis B vaccine, adult dosage (three dose schedule), for intramuscular use
• 90747 - Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (four dose schedule), for intramuscular use
• 90759 - Hepatitis B vaccine, 3-antigen, 10 mcg dosage (3 dose schedule), for intramuscular use
• G0010 - Administration of Hepatitis B vaccine

Frequency

Scheduled doses required

Diagnosis Code

Z23 - Encounter for immunization

Coverage

Intermediate risk

• Staff at institutions for mentally challenged
• Workers who have frequent contact with blood or blood-derived body fluids

High risk

• End Stage Renal Disease (ESRD) patients
• Clients of institutions for mentally challenged
• Someone who lives in same house as a hepatitis b virus carrier
• Homosexual men
• Someone who injects illicit drugs

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

Payment

Copayment/coinsurance waived; Deductible waived

G0010 allows $30 (2022)

Noridian Medicare Portal

No

Resources

• CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 50.4.4.2
• CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section 10
• CMS Medicare Preventive Services