2025 HCPCS code G0010

Administration of Hepatitis B vaccine.

Follow all applicable HCPCS coding guidelines.

Modifiers may be applicable depending on the circumstances of service. Refer to the most current NCCI guidelines.

Vaccination against Hepatitis B is medically necessary for individuals at risk of infection. This may include healthcare workers, individuals with chronic liver disease, individuals with multiple sexual partners, injection drug users, and individuals traveling to areas with high rates of Hepatitis B.

The clinical responsibility includes patient education regarding the Hepatitis B virus, its transmission, and the benefits of vaccination.Appropriate preparation of the injection site, intramuscular administration of the vaccine, and post-injection monitoring for adverse reactions are also included.

IMPORTANT For Medicare and Medicare-following payers, use G0010. For commercial payers, you may need to use 90471 (Immunization administration) along with vaccine product codes (90739, 90740, 90743, 90744, 90746, 90747) depending on the specific vaccine and patient age. Always check with the individual payer for their specific reporting requirements.

In simple words: This code is used when a doctor or nurse gives a Hepatitis B shot.The shot is given to prevent a serious liver infection. The doctor will talk to you about the shot and what to expect before giving it.

This HCPCS code represents the administration of the Hepatitis B vaccine, given intramuscularly in two or more separate doses to prevent Hepatitis B infection.The provider counsels the patient and/or family, provides instructions and precautions before administering the vaccine.The code encompasses the complete procedure, from patient preparation to administration of the vaccine.

Example 1: A 25-year-old patient presents to their physician's office for a Hepatitis B vaccination series.The physician reviews the risks and benefits of vaccination, administers the first dose of the vaccine intramuscularly, and documents the administration. G0010 is reported., A 40-year-old patient traveling internationally receives the first dose of a Hepatitis B vaccination series from a travel clinic. The nurse reviews the risks and benefits, administers the vaccine, documents the administration, and bills with G0010., A healthcare worker undergoes Hepatitis B vaccination as part of their employment requirements. The occupational health nurse provides patient education, administers the vaccine, and documents the administration, billing G0010.

* Patient demographics and relevant medical history.* Documentation of patient education regarding Hepatitis B and vaccination.* Consent for vaccination.* Date and time of vaccine administration.* Vaccine lot number and expiration date.* Site of injection.* Documentation of any adverse reactions.* Signature of administering provider.

** Always refer to the most current CMS guidelines for accurate coding and reimbursement.

  • RVU: Refer to CMS for current RVU values and payment rates.These vary based on geographic location and other factors.
  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Fee Schedule : Historical fee schedule data is not provided, but consult CMS for historical reimbursement rates.
  • Specialties:Infectious disease, internal medicine, family medicine, occupational medicine, travel medicine.
  • Place of Service:Office, clinic, hospital, other locations as appropriate.
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