Hepatitis B Vaccine (Recombinant) Injectable Suspension, for Intramuscular Use (PreHevbrio™) HCPCS Code 90759: Billing Guidelines | NC Medicaid.
3 converts to ICD-10 code z23 (type of immunization given will be identified by the procedure code—effective October 1, 2013. The procedure code for prophylactic vaccination and inoculation against viral hepatitis is unknown. Suggest the use of ICD-10 code z23. 9955 or z23.
7) along with the appropriate CPT code (90746 for hepatitis B vaccine or 90632 for hepatitis A vaccine) plus the appropriate CPT administration code (90471 for immunization administration).
Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
For immunization administration other than COVID-19, codes 90460–90474 are reported for the administration of the vaccine, along with the appropriate vaccine/toxoid code (90476–90756) targeting the organism.
Z23 is the ICD-10-CM code used when reporting an encounter for immunization for all vaccines given within the encounter.
90686 Influenza virus vaccine, quadrivalent, split virus, preservative free, 0.5 ml dosage, for intramuscular use 90696 Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use.
The hepatitis B vaccine is a safe and effective vaccine that is recommended for all infants at birth and for children up to 18 years. The hepatitis B vaccine is also recommended for adults living with diabetes and those at high risk for infection due to their jobs, lifestyle, living situations, or country of birth.
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z23 became effective on October 1, 2021.
• Code Z23 is for encounters for inoculations and vaccinations. • It means patient is being seen to receive a prophylactic inoculation against a disease. • Code Z23 may be used as a secondary code if the inoculation is given as a routine part of preventive health care, such as a well-baby visit.
For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.
Limitations90476©Adenovirus vaccine, type 490698©90585©Bcg vaccine, precut90702©90586©Bcg vaccine, intravesical90704©90632©Hep a vaccine, adult im90705©90633©Hep a vacc, ped/adol, 2 dose90706©29 more rows
Hepatitis B Virus (HBV) infection screenings Medicare covers an HBV screening if your primary care doctor orders one and you meet one of these conditions: You're at high risk for HBV infection. You're pregnant.
Encounter for screening for other viral diseases The 2022 edition of ICD-10-CM Z11. 59 became effective on October 1, 2021.