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July 2019
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CMS Transmittals

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

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.

N18.6 End stage renal disease

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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.

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