tci Part B Insider - 2012 Issue 16

Vaccines: Stick to G0010 for Hepatitis B Vaccine, CMS Reminds Practices

Inaccuracy in Medicare manual may have led you astray. If you've been taking your Hepatitis B coding advice from the Medicare Claims Processing Manual, you could be submitting the wrong codes. Background: In March 2011, CMS assigned code G0010 (Administration of hepatitis B vaccine) to cover hepatitis B vaccinations, and made it payable retroactive to Jan. 1, 2011. However, the Claims Processing Manual was never updated to reflect the new code, causing many practices to continue submitting the previous codes (90471-90472) for this service. Effective April 4, 2012, CMS updated the manual to reflect the change, but if you...

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