CMS Screening for Hepatitis B Virus Infection


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

  • 16- Obstetrics/Gynecology

  • 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.

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