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Implementation of Hepatitis B Vaccine Medi-Cal Benefit

June 7, 2019

A previously published NewsFlash article titled “Update: New Medi-Cal Benefit for Hepatitis B Vaccine” informed providers that, effective retroactively for dates of service on or after March 1, 2018, CPT code 90739 (hepatitis B vaccine [HepB], adult dosage, 2 dose schedule, for intramuscular use) is a Medi-Cal benefit. CPT code 90739 is reimbursable for recipients 18 years of age or older.

Providers were told not to bill for this benefit until implementation in the claims processing system was announced on the Medi-Cal website. The policy has been implemented, and providers may bill retroactively for dates of service on or after March 1, 2018, with timeliness waived for six months beginning June 6, 2019.

An Erroneous Payment Correction (EPC) will be initiated to reprocess denied claims.

Updated manual pages reflecting this change will be released in a future Medi-Cal Update.