Medium impact
Hepatitis B Vaccine (CPB 0410, reviewed 2026-07-06)
Aetna·Effective Jul 6, 2026
Aetna updated its Hepatitis B vaccine medical policy (CPB 0410) effective July 6, 2026, establishing comprehensive coverage criteria for HepB vaccination across all age groups and risk categories. The policy covers routine infant/child vaccination, catch-up vaccination for adults through age 59, and selective vaccination for adults 60+ with specific risk factors or conditions. Billing teams must verify member eligibility against the expanded criteria and use the covered CPT/HCPCS codes with supporting ICD-10 diagnosis codes to ensure claim approval.