Administration Code for Hepatitis B - New Updates

G0010 Administration of hepatitis B vaccine

The Centers for Medicare & Medicaid Services (CMS) retroactively assigned HCPCS code G0010 to APC 0436, Level I, Drug Administration,and changed the status indicator for HCPCS code G0010 from status indicator “B” to status indicator “S” effective January 1, 2011.

Effective for claims processed with dates of service on or after January 1, 2011, OPPS providers should report code G0010 for the administration of hepatitis B vaccine rather than 90471 or 90472 to ensure the correct waiver of coinsurance and deductible for the administration of hepatitis B vaccine. If any claims containing this code were processed incorrectly prior to the implementation of 'Change Request 7692', you should bring them to the attention of your contractor on or after July 2, 2012, for adjustment.

Reference(s): http://www.cms.gov/MLNMattersArticles/downloads/MM7692.pdf