tci Part B Insider - 2013 Issue 40

Medicare Drug Screens: G0431, G0434 Define Your Options

Steer clear of the 80100 series for this payer. If you’re reporting drug screening tests for Medicare beneficiaries, you won’t be able to report the standard drug screen codes from your coding manual. That’s because Medicare won’t accept CPT® drug screen codes 80100, 80101, or 80104. Turn to HCPCS Level II for Medicare Instead, you’ll need to report one of the following codes if a physician orders a drug screen for a Medicare beneficiary: G0431 — Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient...

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