The information contained in this website has been compiled by CodeMap, L.L.C. who remains solely responsible for its content.
The information provided is for general educational purposes only and may not be conclusive or exhaustive.
Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.
For technical questions, please contact CodeMap.
This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.
Click here for detailed information on Medicare Coding and Reimbursement for Drug Tests
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|
2012 Laboratory Fee Schedule
* IMPORTANT: Report G0431 only one time per patient encounter, no matter how many
drugs are determined. Also note that this code may only be used for FDA defined CLIA high complexity
methods.
| Test Name |
CPT Code |
CPT Code Description |
Medicare Coverage |
National
Reimbursement |
| Acetaminophen, quant. |
82003 |
Acetaminophen
|
|
$28.66 |
| Acetaminophen, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Amphetamines, quant. |
82145 |
Amphetamine or methamphetamine
|
|
$22.02 |
| Amphetamines, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Barbiturates, quant. |
82205 |
Barbiturates, not elsewhere specified
|
|
$16.22 |
| Barbiturates, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Benzodiazepine, quant. |
80154 |
Benzodiazepines
|
|
$26.20 |
| Benzodiazepine, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Buprenorphine (opiates), quant. |
83925 |
Opiate(s), drug and metabolites, each procedure
|
|
$27.56 |
| Buprenorphine, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Cocaine, quant. |
82520 |
Cocaine or metabolite
|
|
$21.47 |
| Cocaine, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Creatinine, urine |
82570 |
Creatinine; other source
|
|
$7.33 |
| |
| Ecstasy (drug NOS), quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| Ecstasy, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Ethanol, quant. |
82055 |
Alcohol (ethanol); any specimen except breath
|
|
$15.30 |
| |
| Methadone, quant. |
83840 |
Methadone
|
|
$23.13 |
| Methadone, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Opiates, quant. |
83925 |
Opiate(s), drug and metabolites, each procedure
|
|
$27.56 |
| Opiates, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Oxycodone, quant. |
83925 |
Opiate(s), drug and metabolites, each procedure
|
|
$27.56 |
| Oxycodone, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Phenyclidine (PCP), quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| Phenyclidine (PCP), qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Propoxyphene, quant. |
83925 |
Opiate(s), drug and metabolites, each procedure
|
|
$27.56 |
| Propoxyphene, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| Salicylates, quant. |
80196 |
Salicylate
|
|
$10.05 |
| Salicylates, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
| THC Cannaboids, quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| THC Cannaboids, qual. |
G0431* |
Drug screen multiple class
|
CCI
|
$102.99 |
| |
* IMPORTANT: Report G0431 only one time per patient encounter, no matter how many
drugs are determined. Also note that this code may only be used for FDA defined CLIA high complexity
methods.
The information contained in this website has been compiled by CodeMap, L.L.C. who remains solely responsible for its content.
The information provided is for general educational purposes only and may not be conclusive or exhaustive.
Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.
For technical questions, please contact CodeMap.
This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.
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