Preventive Medicine: Hepatitis C Virus (HCV) Screening

Procedure Codes
G0472: Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
87522: Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed
86804: Hepatitis C antibody; confirmatory test (eg, immunoblot)
86803: Hepatitis C antibody;

ICD-10-CM
G0472: Z72.89, F19.20
87522, 86804, 86803: Any diagnosis except those for hepatitis C

Frequency
G0472: Annually for high risk individuals with continued illicit intravenous drug use, once in a lifetime for those born 1945-1965 and aren’t considered high risk
87522, 86804, 86803: No specified frequency guidelines

Additional Information
87522, 86804, 86803:

• Not covered by Medicare for preventative care