IMPORTANT SAFETY INFORMATION
  • Severe allergic reaction (eg, anaphylaxis) after a previous dose of any hepatitis B-containing vaccine, or to any component of ENGERIX-B, including yeast, is a contraindication to administration of ENGERIX-B
    See full Important Safety Information below
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Diagnosis Codes

ICD-10-CM codes are used to report diseases and conditions. These will be needed on the CMS-1500 form.

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Printable Summary Sheet

This PDF provides a summary of CPT codes for GSK vaccines.

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Coding for ENGERIX-B
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This section provides the vaccine product codes as well as some common administration codes associated with immunization using ENGERIX-B. Administration codes will vary based on the service provided. Please refer to your most up-to-date Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) manuals for appropriate coding.

INDICATION

ENGERIX-B is a vaccine indicated for immunization against infection caused by all known subtypes of hepatitis B virus.

  CPT
Code
Description [19] NDCs* ICD-10-CM
Code [8]**
Pediatric/
adolescent
dose (birth through 19 years of age):

10 mcg/0.5 mL

Recommended dosing: A series of three 0.5-mL doses given on a 0-, 1-, and 6-month schedule
90744 ENGERIX-B is available in single-dose vials and prefilled disposable Tip-Lok® syringes (packaged without needles) (Preservative Free Formulation).   Z23
Vial in Package of 10
Vial:
Outer Carton:
NDC 58160-820-01 NDC 58160-820-11
Syringe in Package of 10  
Syringe:
Outer Carton:
NDC 58160-820-43 NDC 58160-820-52
Adult dose
(persons 20 years of age and older):

20 mcg/mL

Recommended dosing: A series of three 1-mL doses given on a 0-, 1-, and 6-month schedule

Adults on hemodialysis: A series of four 2-mL doses given as a single 2-mL dose or as two 1-mL doses on a 0-, 1-, 2-, and 6-month schedule
90746







90747

(Dialysis or
immuno-
suppressed
patient)
ENGERIX-B is available in single-dose vials and prefilled disposable Tip-Lok® syringes (packaged without needles) (Preservative Free Formulation).   Z23
Vial in Package of 10
Vial:
Outer Carton:
NDC 58160-821-01 NDC 58160-821-11
Syringe in Package of 10  
Syringe:
Outer Carton:
NDC 58160-821-43 NDC 58160-821-52
* Note that some payers require an 11-digit NDC, which involves adding a "0" immediately after the first hyphen in each GSK NDC. For example, when reporting NDC 58160-820-11 to TRICARE, it becomes NDC 58160-0820-11. [14]
** With the implementation of ICD-10-CM, all vaccine-related encounters are reported as code Z23 for all vaccines given.
TIP To promote accuracy, always consult the most current Prescribing Information or product packaging when documenting NDCs.
Immunization Administration Codes (CPT) [6]
CPT Immunization administration through 18 years of age with counseling by physician or other qualified healthcare professional
90460 Immunization administration via any route, first vaccine/toxoid component
CPT Immunization administration of any vaccine for a patient through 18 years of age that is not accompanied by counseling, or for administration of vaccines to patients over 18 years of age
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
+90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)
Adapted from American Medical Association. CPT 2016 Professional Edition.
TIP If reporting multiple vaccine administrations given to a patient through age 18 years on the same date along with counseling by a qualified healthcare professional, report one administration code (90460) for each vaccine administered.

IMPORTANT SAFETY INFORMATION

ENGERIX-B and Tip-Lok are registered trademarks of the GSK group of companies.

815721R0 December 2016

Please note that this website is provided for informational purposes only and is not intended to serve as comprehensive training on medical billing and coding. Additional training on medical coding may be required. The information on this website is believed to be accurate as of the date of publication. Users should independently verify accuracy.

Healthcare providers are responsible for making the ultimate decision on when to use a specific product based on clinical recommendations and how to bill for products and related services rendered. Consult third-party insurers' guidelines for specific information regarding the billing and reporting of services rendered.

You are encouraged to report vaccine adverse events to the US Department of Health and Human Services.
Visit www.vaers.hhs.gov to file a report, or call 1-800-822-7967.

To learn more about the
GSK Vaccines Access Program,
click here.
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