CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing

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*** 2017 NEW CPT CODES FOR URINE DRUG SCREENING – READ AND CLICK HERE!

CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing

New Codes: January 2016 CPT Code for Urine Drug Screen

Presumptive CPT Code for Drug Screen Testing




  • G0477 QW Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service.
  • G0478 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service.
  • G0479 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (eg, immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service.




Definitive CPT Code for Drug Screen Testing

  1. G0480 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if performed.
  2. G0481 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 8-14 drug class(es), including metabolite(s) if performed.
  3. G0482 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 15-21 drug class(es), including metabolite(s) if performed.)
  4. G0483 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 22 or more drug class(es), including metabolite(s) if performed.
DON’T MISS THE OPPORTUNITY (For routine collection of venous blood, use 36415) – some payers will cover it. Make sure you check!




Commercial Payers (what to use: CPT Code for Urine Drug Screen)

  • 80300 QW – Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures (e.g., immunoassay) capable of being read by direct optical observation, including instrumented-assisted when performed (e.g.. Dipsticks, cups, cards, cartridges) per date of service
    **** ONLY report once, regardless of the number of drug class per date of service
  • 80301 – single drug class methods, by instrumented test systems (e.g. Discrete multichannel chemistry analyzers utilizing immunoassay or 2 enzyme assay), per date of service
    **** Report ONLY once for a single or multiple procedures performed, regardless of the number of performed, classes or results on any date of service
  • 80302 – Drug screen, presumptive, single drug class from Drug Class List B, by immunoassay (e.g. ELISA) or non-TLC chromatography without mass spectrometry (e.g. GC, HPLC), each procedure
    **** Report each drug class once per date of service
  • 80303 – Drug screen, any number of drug classes, presumptive, single or multiple drug class method; thin layer chromatography procedure(s) (TLC) (e.g. Acid, neutral, alkaloid plat), per date of service
    **** Report single or multiple drug procedures, once per day of service
  • 80304 – not otherwise specified presumptive procedure (e.g. TOF, MALDI, LDTD, DESI, DART), each procedure
    **** Report single or multiple drug screenings, per testing site, per date of service, per each procedure




References:
CPT Code for Urine Drug Screen Billing (Billing/Coding Guideline – this one is perfect!)
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