Updated May 11, 2022,
Originally published May 6, 2022
Update: Effective for dates of service on or after January 1, 2022, CPT® code 90759 is a Medi-Cal benefit. On May 6, 2022, as reflected in the original News article text below, Medi-Cal announced erroneously that CPT code 90759 is a Medi-Cal benefit effective for dates of service on or after November 30, 2021. The actual benefit effective date is January 1, 2022.
Effective for dates of service on or after November 30, 2021, CPT code 90759 (Hepatitis B vaccine [HepB], 3-antigen [S, Pre-S1, Pre-S2], 10 mcg dosage, 3 dose schedule, for intramuscular use) is a Medi-Cal benefit. CPT code 90759 is reimbursable for beneficiaries 18 years of age or older. Modifiers SA, SB, U7, UD and 99 are allowable.
A Treatment Authorization Request (TAR) is not required for reimbursement.
Provider manual updates reflecting the policy will be released in a future Medi-Cal Update.