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Medicare covers flu, pneumococcal, and Hepatitis B shots. Flu, pneumococcal infections, and Hepatitis B can be life threatening to an older person. This is especially important for those who have chronic illness, including heart disease, lung disease, diabetes, or End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant). People at medium to high risk for Hepatitis B should get Hepatitis B shots.
90739 – Hepatitis B vaccine, adult dosage (2 dose schedule), for intramuscular use
90740 – Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (3 dose schedule), for intramuscular use
90743 – Hepatitis B vaccine, adolescent (2 dose schedule), for intramuscular use
90744 – Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use
90746 – Hepatitis B vaccine, adult dosage (3 dose schedule), for intramuscular use
90747 – Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule), for intramuscular use
G0010 – Administration
Z23 (V05.3)
Medicare covers the hepatitis B vaccine for certain beneficiaries who are at intermediate to high risk for the hepatitis B virus (HBV). These individuals include health care professionals who have frequent contact with blood or blood-derived body fluids during routine work, those with End-Stage Renal Disease (ESRD), persons who live in the same household as an HBV carrier, and persons diagnosed with diabetes mellitus. Other situations could qualify a beneficiary as being at intermediate or high risk of contracting HBV.
NOTE: Medicare beneficiaries who are currently positive for antibodies for hepatitis B are not eligible for this benefit
Scheduled dosages required
Am I at medium or high risk for Hepatitis B?
These are some of the factors that put you at medium or high risk for Hepatitis B:
Other factors may increase your risk for Hepatitis B. Check with your doctor to see if you’re at medium or high risk for Hepatitis B.
Does Medicare cover the hepatitis B vaccine for all Medicare beneficiaries?
No, Medicare covers the hepatitis B vaccine for certain beneficiaries who are at intermediate to high risk for the hepatitis B virus (HBV). These individuals include health care professionals who have frequent contact with blood or blood-derived body fluids during routine work, those with End-Stage Renal Disease (ESRD), persons who live in the same household as an HBV carrier, and persons diagnosed with diabetes mellitus. Other situations could qualify a beneficiary as being at intermediate or high risk of contracting HBV.
Can I roster bill the seasonal influenza virus, pneumococcal, and hepatitis B vaccines?
No, you may roster bill only the seasonal influenza virus and pneumococcal vaccines. You cannot roster bill the hepatitis B vaccine.
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