On May 17, 2017, CMS updated their policy for Hepatitis B coverage.
Payment for Hepatitis B apply to the following HCPCS and CPT codes, effective for dates of service on or after September 28, 2016: G0499, 86704, 86706, 87340 & 87341. CMS will allow coverage for HBV screenings only when services are ordered by the following provider specialties found on the provider’s enrollment record.
01- General Practice
08- Family Practice
11- Internal Medicine
37- Pediatric Medicine
38- Geriatric Medicine
42- Certified Nurse Midwife
50- Nurse Practitioner
89- Certified Clinical Nurse Specialist
97- Physician Assistant
Claims submitted by providers other than the specialty types noted above will be denied.