Coverage / Coding and Billing

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This page contains information regarding coding and billing for hepatitis services.

Viral Hepatitis Billing Codes Resource from California Department of Public Health
The California Department of Health compiled this screening toolkit for providers regarding hepatitis B and C. It includes billing codes for viral hepatitis.

Hep Free Hawaii Handout for Baby Boomers to Share with Doctors
Hep Free Hawai’i created this handout for Baby Boomers to share with their doctors. It explains that they want a hepatitis C test and lists the proper tests they request.

Hep Free Hawaii Coding & Billing for Hepatitis Services
Hep Free Hawai‘i compiled this information on billing and reimbursement for hepatitis testing and vaccinations for insured, at-risk, non-pregnant adults living in Hawaii.

Medicare Covers HCV Testing for Baby Boomers
CMS will cover screening for HCV with the appropriate U.S. Food and Drug Administration (FDA) approved/cleared laboratory tests, when ordered by the beneficiary's primary care physician or practitioner within the context of a primary care setting. A screening test is covered for adults at high risk for Hepatitis C Virus infection. A single screening test is also covered for adults who do not meet the high risk as defined above, but who were born from 1945 through 1965.

Detailed Hepatitis C Medicare Coverage Information
This page describes who is eligible for Medicare coverage with regard to hepatitis C testing.

CDC HCV Information for Health Professionals
This landing page provides detailed, in-depth information for health professionals regarding hepatitis C.

FAQs about New York State HCV Testing Law
In 2013, New York State passed a hepatitis C testing law, which required HCV screening for Baby Boomers. This page includes FAQs for people working in New York state who are affected by this law.