tci Part B Insider - 2009 Issue 34

PART B CODING COACH: CPT 2010 Preview: Getting Paid Per Drug Class for Test Kits? That's About to End

You'll get less pay for low complexity drug screen. This winter a pair of G codes may replace CPT drug screen codes that paid you the same regardless of the test's complexity. Drug Screens Aren't Equal CMS is about to put an end to an unfair pricing practice. CPT lacks a distinct code for drug screen kits. Therefore, labs that perform a low-complexity test waived under the Clinical Laboratory Improvement Amendments (CLIA) currently garner the same pay as labs that perform a high-complexity drug screen on a manual or automated chemistry platform. Problem: The following two codes are the...

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