(Medicare Claims Processing Manual)

NOTE:   Medicare Administrative Contractors shall contractor -price HBV screening claims, HCPCS G0499, with dates of service September 28, 2016 through December 31, 2017.   230.3  Diagnosis Code Reporting Requirements  (Rev.11035, Issued:10 -13-21, Effective: 11-17-21; Implementation:  11-17-21) For claims with dates of service on or after September 28, 2016, CMS will allow  coverage for HBV screening, HCPCS G0499, only when services are reported with both of  the following diagnosis codes denoting high risk:  Z11.59 Encounter  for screening  for other  viral  disease,  and, Z72.89 Other  Problems  related  to life style   For claims with dates of service on or after September 28, 2016, CMS will allow  coverage for HBV  screening,  HCPCS  G0499, for subsequent  visits  only when  services  are reported with the  following diagnosis codes:   Z11.59, and,  one of the high risk diagnosis  codes  below:   F11.10  Opioid  abuse,  uncomplicated  F11.11  Opioid abuse,  in remission  F11.120  Opioid abuse  with intoxication, uncomplicated  F11.121  Opioid abuse  with intoxication delirium  F11.122  Opioid abuse  with intoxication with  perceptual  disturbance  F11.13  Opioid abuse  with withdrawal  F11.14  Opioid abuse  with opioid -induced mood disorder  F11.150  Opioid abuse  with opioid -induced psychotic  disorder with delusions  F11.151  Opioid abuse  with opioid -induced psychotic  disorder  with hallucinations  F11.181  Opioid abuse  with opioid -induced sexual  dysfunction F11.182  Opioid abuse  with opioid- induced sleep  disorder  F11.188  Opioid abuse  with other  opioid- induced disorder  F11.20  Opioid dependence,  uncomplicated  F11.21  Opioid dependence,  in remission  F11.220  Opioid dependence with intoxication, uncomplicated  F11.221  Opioid  dependence  with intoxication delirium   F11.222  Opioid  dependence  with  intoxication  with  perceptual  disturbance  F11.23  Opioid  dependence  with  withdrawal  F11.24  Opioid  dependence  with  opioid -induced mood  disorder  F11.250  Opioid  dependence  with  opioid -induced psychotic disorder  with  delusions  F11.251  Opioid  dependence  with  opioid -induced psychotic disorder  with  hallucinations  F11.259  Opioid  dependence  with  opioid -induced  psychotic disorder,  unspecified  F11.281  Opioid  dependence  with  opioid -induced  sexual  dysfunction  F11.282  Opioid  dependence  with  opioid -induced  sleep disorder  F11.288  Opioid  dependence  with  other  opioid -induced  disorder  F11.90  Opioid  use, unspecified,  uncomplicated  F11.920  Opioid  use, unspecified  with  intoxication,  uncomplicated  F11.921  Opioid  use, unspecified  with  intoxication  delirium  F11.922  Opioid  use, unspecified  with  intoxication  with  perceptual  disturbance  F11.929  Opioid  use, unspecified  with  intoxication,  unspecified  F11.93  Opioid  use, unspecified with  withdrawal  F11.94  Opioid  use, unspecified with  opioid -induced  mood  disorder  F11.950  Opioid  use, unspecified  with  opioid -induced  psychotic  disorder  with  delusions  F11.951  Opioid  use, unspecified  with  opioid -induced  psychotic  disorder  with  hallucinations  F11.959  Opioid  use, unspecified  with  opioid -induced  psychotic  disorder,  unspecified  F11.981  Opioid  use, unspecified  with  opioid -induced  sexual  dysfunction  F11.982  Opioid  use, unspecified  with  opioid -induced  sleep  disorder  F11.988  Opioid  use, unspecified with  other  opioid -induced  disorder  F13.10  Sedative,  hypnotic  or anxiolytic  abuse, uncomplicated  F13.11  Sedative,  hypnotic  or anxiolytic  abuse,  in remission  F13.120  Sedative,  hypnotic  or anxiolytic  abuse  with  intoxication,  uncomplicated  F13.121  Sedative,  hypnotic  or anxiolytic  abuse  with intoxication  delirium  F13.129  Sedative,  hypnotic  or anxiolytic  abuse  with intoxication,  unspecified  F13.130  Sedative,  hypnotic  or anxiolytic  abuse  with  withdrawal,  uncomplicated  F13.131  Sedative,  hypnotic  or anxiolytic  abuse  with  withdrawal  delirium  F13.132  Sedative,  hypnotic  or anxiolytic  abuse  with  withdrawal  with  perceptual  disturbance  F13.14  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  mood  disord  F13.150  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  psychotic  dis F13.151  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  psychotic  dis F13.159  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  psychotic  dis F13.180  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  anxiety  disor  F13.181  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  sexual  dysfu  F13.182  Sedative,  hypnotic  or anxiolytic  abuse  with  sedative,  hypnotic  or anxiolytic -induced  sleep  disord  F13.188  Sedative,  hypnotic  or anxiolytic  abuse  with  other  sedative, hypnotic  or anxiolytic -induced  disord  F13.20  Sedative,  hypnotic  or anxiolytic  dependence,  uncomplicated  F13.21  Sedative,  hypnotic  or anxiolytic  dependence,  in remission  F13.220  Sedative,  hypnotic  or anxiolytic  dependence  with  intoxication,  uncomplicated  F13.221  Sedative,  hypnotic  or anxiolytic  dependence  with intoxication  delirium    F13.229  Sedative,  hypnotic  or anxiolytic  dependence  with  intoxication,  unspecified  F13.230  Sedative,  hypnotic  or anxiolytic  dependence  with  withdrawal,  uncomplicated  F13.231  Sedative,  hypnotic  or anxiolytic  dependence  with  withdrawal  delirium  F13.232  Sedative,  hypnotic  or anxiolytic  dependence  with  withdrawal  with  perceptual disturbance  F13.239  Sedative,  hypnotic  or anxiolytic  dependence  with withdrawal,  unspecified  F13.24  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  mood  F13.250  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  psycho   F13.251  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  psycho  hallucinations  F13.259  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  psycho  F13.26  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  persist  F13.27  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  persist  F13.280  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  anxiet  F13.281  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  sexual  F13.282  Sedative,  hypnotic  or anxiolytic  dependence  with  sedative,  hypnotic  or anxiolytic -induced  sleep  d F13.288  Sedative,  hypnotic  or anxiolytic  dependence  with  other  sedative,  hypnotic  or anxiolytic -induced  d F13.90  Sedative,  hypnotic,  or anxiolytic  use, unspecified,  uncomplicated  F13.920  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  intoxication,  uncomplicated  F13.921  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  intoxication  delirium  F13.929  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  intoxication,  unspecified  F13.930  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  withdrawal,  uncomplicated  F13.931  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  withdrawal  delirium  F13.932  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  withdrawal  with  perceptual  disturbances  F13.939  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  withdrawal,  unspecified  F13.94  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  sedative,  hypnotic  or anxiolytic -induced  mo  F13.950  Sedative,  hypnotic  or anxiolytic  use, unspecified  with  sedative,  hypnotic  or anxiolytic -induced  ps delusions