Medicare Blog

how to bill urine drug screen medicare 2017

by Jailyn Daugherty DDS Published 2 years ago Updated 1 year ago
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Does Medicare cover urine drug screens?

Medicare also covers clinical laboratory services, including urine drug testing (UDT), under Part B. Physicians use UDT to detect the presence or absence of drugs or to identify specific drugs in urine samples.

How do you code a urine drug screen?

In order to match our testing method that is currently being performed, urine drug screen analysis will be billed using CPT code 80101 for each drug class.

What is the ICD 10 code for a urine drug screen?

ICD-10-CM Codes that Support Medical Necessity For monitoring of patient compliance in a drug treatment program, use diagnosis code Z03. 89 as the primary diagnosis and the specific drug dependence diagnosis as the secondary diagnosis.

What modifier is used for 80307?

90 modifier 80307 describes a method of presumptive drug screening that will not meet the requirements of a CLIA Waived procedure/device- so no "QW" modifier.

What is the ICD 10 code for Drug test?

Z02.83Z02. 83 - Encounter for blood-alcohol and blood-drug test. ICD-10-CM.

What is the ICD 10 code for drug use?

Substance use disorders and ICD-10-CM codingMental and Behavioral Disorders due to...Code1...use of opioidsF11...use of cannabisF12...use of sedatives, hypnotics, anxiolyticsF13...use of cocaineF146 more rows•Sep 10, 2015

Does Medicare pay for CPT code 80305?

The AMA CPT code for drug testing using our 12 panel drug test cups, which is the code used for Medicare B and most other insurers, is 80305.

Can you bill 80307 and G0480 together?

b. Drug confirmation testing is considered included in CPT codes 80305 – 80307 and HCPCS codes G0480 – G0483, G0659, and is not eligible for separate reimbursement.

What is Z02 89?

ICD-10 code Z02. 89 for Encounter for other administrative examinations is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is included in CPT 80307?

CPT code: 80307 Drug test(s), presumptive, any number of drug classes, qualitative; any number of devices or procedures, by instrument chemistry and analyzers (eg, utilizing immunoassay [EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, ...

What is a presumptive drug screen?

Presumptive drug tests are used to detect the presence or absence of a drug or drug class; they do not typically indicate a specific level of drug but rather give a positive or negative result. A presumptive drug test may be followed with a definitive drug test in order to identify specific drugs or metabolites.

Is 80307 CLIA waived?

True Blue. PC/TC concept doesn't apply to the drug screen codes. I'd say the Facility claim is the correct once. Its not a CLIA waived test so should only be performed by the laboratory with the advanced equipment and CLIA certificate.

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