CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


2020 Printed Publications Early Bird Sale on Now through August 30, 2019!



User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019-July
2019-April

ASC Fee Schedule

2019-July
2019-April

APC Codes

2019-July
2019-April

DRG Codes

2019
2018

ASP Drug Pricing Files

July 2019
April 2019


CMS Transmittals



National Coverage Determination
Procedure Code: G0499
Screening for Hepatitis B Virus (HBV) Infection
CMS Policy Number: 210.6
Back to NCD List

Limitations:
Diagnosis Code Reporting Requirements For claims with dates of service on or after September 28, 2016, CMS will allow coverage for G0499 for HBV screening only when services are reported with both of the following diagnosis codes denoting high risk: •Z11.59 - Encounter for screening for other viral disease •Z72.89 - Other Problems related to life style. For claims with dates of service on or after September 28, 2016, CMS will allow coverage for G0499 for subsequent visits, only when services are reported with the following diagnosis codes: •Z11.59 and one of the high risk codes below - F11.10-F11.99 - F13.10-F13.99 - F14.10-F14.99 - F15.10-F15.99 - Z20.2 - Z20.5 - Z72.52 - Z72.53



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

ICD-10Descriptor
N18.6 End stage renal disease

The content and format of the following files and/or webpages are copywritten and the property of Wheaton Partners, LLC - dba CodeMap®. All recipients of these files agree not to distribute, reproduce and/or use the information contained within, in any manner not expressly agreed upon by the user and Wheaton Partners, LLC - dba CodeMap®.

All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap® has made every reasonable effort to ensure the accuracy of the information contained. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. Both CMS and Medicare contractor coverage policy information may change at any time. CodeMap® makes no representation, warranty, or guarantee that this compilation of coverage policy information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.


CodeMap® is a Registered Trademark of Wheaton Partners, LLC.