Billing and coding for HEPLISAV-B

Quick-reference coding guide

The table below provides a brief overview of relevant billing and coding information for HEPLISAV-B.

Type Code Description
CPT®* Drug Code 90739 Hepatitis B vaccine, adult dosage 2-dose schedule, for intramuscular use
CPT Administration Code 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
HCPCS (Administration code for Medicare Part B) G0010 Administration of hepatitis B vaccine
10-Digit NDC Number 43528-002-01 Single vial, 1 dose, 0.5 mL
43528-002-05 Package of 5 single-dose vials
43528-003-01 Prefilled Syringe, 1 dose (0.5 mL)
43528-003-05 Package of 5 single-dose prefilled syringes
11-Digit NDC Number 43528-0002-01 Single vial, 1 dose, 0.5 mL
43528-0002-05 Package of 5 single-dose vials
43528-0003-01 Prefilled Syringe, 1 dose (0.5 mL)
43528-0003-05 Package of 5 single-dose prefilled syringes
ICD-10-CM Z23 Encounter for immunization
MVX Code DVX Dynavax
CVX Code 189 Hepatitis B vaccine (recombinant), adjuvant

Please note for TRICARE:

Call HEPLISAV-B Access Navigator™† at 1-84-HEPLISAV (1-844-375-4728) for coverage and reimbursement support 8 am to 8 pm, ET, Monday through Friday

CMS=Centers for Medicare & Medicaid Services; CPT=Current Procedural Terminology; HCPCS=Healthcare Common Procedure Coding System; ICD-10-CM=International Classification of Diseases, 10th Revision, Clinical Modification, 7th ed.; NDC=National Drug Code.

*CPT is a registered trademark of the American Medical Association (AMA).

While many health insurance plans cover HEPLISAV-B, the type and level of coverage can vary. Any information provided by a HEPLISAV-B Access Navigator is intended as a guideline only, and is not a guarantee of coverage. Coverage and reimbursement amounts are specific to the individual plan that a member or their employee has purchased, as well as the negotiated contract for each provider. Each plan decides its own reimbursement rate, which varies based on plan and patient group. Dynavax suggests that you contact the individual plan to determine reimbursement.

Reimbursement — Billing and Coding
HEPLISAV-B Hepatitis B Vaccine (Recombinant), Adjuvanted™ HEPLISAV-B Hepatitis B Vaccine (Recombinant), Adjuvanted™

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Call 1-84-HEPLISAV (1-844-375-4728)
8 AM to 8 PM, ET, Monday through Friday