G0010 Admin hepatitis b vaccine

Administration of hepatitis b vaccine

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for G0010

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for G0010

Payer coverage policies that name G0010

G0010 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaHepatitis B Vaccine (0410)covered if criteria are metJul 6, 2026payer document
AetnaInfertility (0327)covered if criteria are metJul 16, 2026payer document
AetnaInjectable Medications (0020)listed, no stance (range G0008-G0010)Mar 5, 2026payer document
AetnaVaccines for Travel (0473)covered if criteria are metJul 24, 2026payer document
Blue Cross & Blue Shield of Rhode IslandImmunizations Adult and Pediatric
MEDICAL COVERAGE POLICY | 10		not coveredJun 9, 2026payer document
BlueCross BlueShield of South CarolinaPreventive Services for Non-Grandfathered (PPACA) Plans: Immunizations (CAM 109)listed, no stanceApr 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $29.00 (outpatient_hospital), effective Oct 1, 2021
  • ND: $18.28 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $20.71 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.