Name of the Procedure:

Hepatitis B Screening for Non-Pregnant, High-Risk Individuals (HCPCS Code: G0499)

Summary

This screening test checks for Hepatitis B infection in non-pregnant individuals at high risk. It looks for the hepatitis B surface antigen (HBsAg), antibodies to HBsAg (anti-HBs), and antibodies to the hepatitis B core antigen (anti-HBc). If the initial results are positive, a confirmatory test is performed.

Purpose

This screening aims to detect Hepatitis B in high-risk individuals early, allowing for timely medical intervention. Detecting the virus can help prevent liver damage and reduce the risk of transmission to others.

Indications

• Individuals with multiple sexual partners
• People who inject drugs
• Men who have sex with men
• Healthcare workers exposed to human blood
• Family members or close contacts of persons with Chronic Hepatitis B
• Individuals from areas with a high prevalence of Hepatitis B

Preparation

• No specific preparation such as fasting is generally required.
• Inform the healthcare provider about any medications or supplements being taken.

Procedure Description

1. Blood Sample Collection: A healthcare professional will draw a blood sample from a vein in your arm.
2. Initial Screening Tests: The blood is tested for HBsAg, anti-HBs, and anti-HBc.
3. Confirmatory Test: If initial results are positive for HBsAg, a neutralizing confirmatory test will follow to confirm the presence of Hepatitis B infection.

Duration

The blood collection process takes about 5-10 minutes.

Setting

Typically performed in a healthcare provider’s office, outpatient clinic, or a laboratory setting.

Personnel

• Registered Nurse (RN) or Phlebotomist for blood draw
• Laboratory Technician for conducting the tests
• Physician or healthcare provider for interpreting results

Risks and Complications

• Common Risks: Minor bruising or discomfort at the needle site
• Rare Risks: Infection at the puncture site, fainting during or after the blood draw

Benefits

• Early detection of Hepatitis B
• Helps in initiating appropriate treatments or preventive measures
• Reduces risk of liver damage and transmission to others

Recovery

• Post-procedure: Mild soreness at the puncture site, typically resolving within a day
• No specific recovery time needed
• Follow-up appointment for discussing results and potential treatment plans if necessary

Alternatives

• Alternative Hepatitis B tests such as Hepatitis B DNA test, which is more specific but often more costly.
• Screening through rapid tests, which might not include all markers tested in G0499.

Patient Experience

• During the blood draw, patients might feel a slight prick or pinch.
• After the procedure, patients can resume normal activities immediately.
• Pain management is usually not required, although cold compresses can help with any minor discomfort.