G0499 Insurance Policy Changes

HCPCS G0499 is officially defined as "Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result." HCPCS G0499 is referenced in 3 tracked payer policy changes from Harvard Pilgrim Health Care, Blue Cross NC, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0499 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.