Urine drug test codes , not a 22+ drug class panel). The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not The Drug Monitoring, Assess Panels, Quantitative, Urine (test codes 39989, 39991, and 39992) provide options for assessing the presence of different drug classes 2 Specific coding guidelines for this policy: For dates of service on, or after 04/01/2011, append modifier QW to G0434 to indicate a CLIA waived test. Drug Tests: A Final Note. CPT 80320-80377: Drug assay codes for specific substances. Presumptive Drug Testing Codes 80305 80306 80307 H0003 Definitive drug testing, also known as confirmation testing, is used when it is necessary to identify specific medications, illicit substances and metabolites. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC; 733726: 733726 13+Oxycodone+Crt-Scr: 69739-1: 737690: Amphetamines Screen, Urine Oct 1, 2015 · A56915 - Billing and Coding: Urine Drug Testing DA56915 - Billing and Coding: Urine Drug Testing (MCD Archive Site) A59562 - Response to Comments: Urine Drug Testing (DL34645) LCDs DL34645 - Urine Drug Testing (MCD Archive Site) CPT 80305 refers to presumptive drug testing, a crucial diagnostic procedure used to screen for the presence of drugs and their metabolites in a patient’s specimen, typically urine or blood. • Simple ordering with single order code for all drug/drug classes and single order code for medMATCH testing • Less urine specimen required: 9 mL total; fewer test not performed/quality not sufficient results that Clinical Drug Monitoring Test List with Test Codes Test Panels Drug Class P P,D D Alcohol Metabolites 39366 39384 Amphetamines 39344 39367 39385 Amphetamines with Reflex d/l Isomers 39368 39386 Antidepressants (urine) d 94032 Antidepressants (serum)d 94031 Antipsychotics (urine)d 94528 Antipsychotics (serum) d 94529 Barbiturates 39350 39369 39387 Mar 1, 2022 · To identify a specific substance or its metabolite that’s in a large class of drugs, or that’s inadequately detected or not detected by presumptive urine drug testing, such as fentanyl, meperidine, synthetic cannabinoids, and other synthetic/analog drugs; this allows only these drug classes to be tested (e. Definitive urine drug test (UDT) reports the results of drugs absent or present in Jul 22, 2024 · Drug test codes ensure that each test is uniquely identified and standardized across different laboratories and healthcare systems. Drugs for which specimens are being tested must be indicated by the referring provider in a written order. Definitive Testing Codes. g. 6 %âãÏÓ 7 0 obj > endobj 33 0 obj >/Encrypt 8 0 R/Filter/FlateDecode/ID[44398F1B9873E84398926B9CF2B40BB7>]/Index[7 49]/Info 6 0 R/Length 114/Prev 152382 . The procedures listed are among the most commonly ordered for each clinical use. This policy details: Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Dec 24, 2015 · The information in this article contains billing, coding, or other guidelines that complement the Local Coverage Determination (LCD) for Urine Drug Testing L35724. The results from presumptive drug tests indicate a possible (but not definitive) presence of metabolites and/or drugs. URINE DRUG TESTING LabCorp is an industry-leading provider of urine drug testing services If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. Mar 7, 2023 · When coding for toxicology services, it’s essential to consider the following: Specify the type of test performed – Whether it is a urine, blood, hair, or saliva drug test, be sure to indicate the type of test performed to ensure proper coding. If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d. HCPCS CODE G0477 A presumptive drug test used in any number of drug classes, any number of devices or procedures capable of being read by direct optical observation only (such as dipsticks, cups, cards, and cartridges) that includes Definitive drug testing panels Our direct-to-definitive testing panels offer convenience with 1 code and 1 consolidated report. Toggle menu. The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD L36029 Urine Drug Testing. Z79. 0083U $167. Key Use: Quantitative analysis for monitoring or Guidelines for Urine Drug Tests– for provider requirements and limitations *Not Covered by: **Aetna- 0965- Drug Testing in Pain Management and Substance Use Disorder Treatment *** Medicare- A56645 Controlled Substance Monitoring and Drugs of Abuse Testing . Definitive urine drug testing confirms and quantifies specific drugs and their metabolites, providing more detailed results. Under Article Text section deleted all verbiage after first sentence and added new coding guidelines verbiage. Jun 28, 2016 · Under Article title revised title to read Billing and Coding: Urine Drug Testing. This standardization minimizes errors and enhances the accuracy of test results, as each code corresponds to a specific test with defined parameters and procedures. This compendium is intended as a resource for clients ordering drug testing and includes assays performed at LabCorp as well as specialized testing from MedTox Laboratories. Additionally, UDT may help the physician monitor for medication adherence, diversion, efficacy, side effects, and patient safety in general. Definitive drug testing for 90 or more drugs in urine. For dates of service on or after 04/01/2011, code G0431QW will be denied for claims submitted Drug Testing Drugs, or drug classes for which testing is performed, should reflect only those likely to be present, based on the patient's medical history, current clinical presentation, and illicit drugs that are in common use. 899** Other long term (current) drug therapy Aug 29, 2019 · Under Coding Guidelines, removed statement: If a presumptive screen and definitive drug test are billed the same date of service after July 1, 2023 and medical necessity for definitive testing is met as stated in L34645 then the subsequent service is subject to NCCI edits and an appropriate NCCI modifier such as XE or XU should be added to the Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC; 791194: Comprehensive Drug Analysis,Ur: 790601: Summary Report (Summary) 41270-0: 791194: Comprehensive Drug Analysis,Ur: 790602: PDF: 80563-0: Order Code: 791194: Order Code Name: Comprehensive Drug Analysis,Ur: Order Loinc: Result Code: 790601: Result Code May 11, 2018 · The work performed in this test approximates the work performed in CPT code 80307. Test List with Test Codes Clinical Drug Monitoring Test List and Panels Test Panels Drug Class P P,D D Alcohol Metabolites 39366 39384 Amphetamines 39344 39367 39385 Amphetamines with Reflex d/l Isomers 39368 39386 Antidepressants (urine) d 94032 Antidepressants (serum)d 94031 Antipsychotics (urine)d 94528 Antipsychotics (serum) d 94529 Dec 26, 2017 · This code is the general code that must be billed whenapplying for reimbursement for drugs of abuse testing. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC; 700845: Drug Screen 13 w/Conf, Serum: 72479-9: 700714: AMPHETAMINES, IA Learn about 2025 new billing codes for drug test cups and other devices. Under Article title revised title to read Billing and Coding: Urine Drug Testing. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH. Medical Necessity Guidance Criteria to establish medical necessity for drug testing must be based on If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. %PDF-1. This test is performed using methods that can be read by direct optical observation without the aid of instruments, such as immunoassay techniques The CPT coding definitions for definitive drug testing include urine, oral, blood, CSF. Under CPT/HCPCS Codes Group 1: Paragraph deleted entire sentence. Urine Drug Testing Coverage Indications, Limitations, and/or Medical Necessity Urine drug testing (UDT) provides objective information to assist clinicians in identifying the presence or absence of drugs or drug classes the body and making treatment decisions. Lay Term: Each code corresponds to a specific drug or drug class analyzed definitively. 35 . The "Extended" panel (test code 39992) additionally (to Plus panel) quantifies carisoprodol (test code 39403), gabapentin (test code 39407), ketamine (test code 11831), MDA/MDMA (test code 39397), methylphenidate (test code 39409), mitragynine (test code 39431), naltrexone (test code 39414), phencyclidine (test code 39401), pregabalin (test another medication or substance, which could lead to drug-drug interactions. Coding Guidelines: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Under CPT/HCPCS Codes Group 1: Codes deleted 0328U and 0227U. If your provider is performing validity testing on urine specimens utilized for drug testing, you can’t for bill the validity testing. Aug 8, 2019 · Article Text. . If this test code is not ordered with 39158, all medMATCH result codes will be DNR'd. You should not use any of the PLA codes (011U) that are specific to a particular laboratories test method and r The 80305 CPT code procedure starts with a lab analyst performing the technical steps to test a patient’s specimen (urine or blood for example) for drug classes for the presumptive screening test. azexyw defjede eesch sfqq jzza jru oukc beojwt vzqzj aieiye ttpyb wouqp nwm issxow ohx