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
Procedure Code
Medicare Coverage
National
Reimbursement
Acetaminophen, quant.
82003
 
$28.66
Acetaminophen, qual.
G0431*
  CCI  
$102.99
 
Amphetamines, quant.
82145
 
$22.02
Amphetamines, qual.
G0431*
  CCI  
$102.99
 
Barbiturates, quant.
82205
 
$16.22
Barbiturates, qual.
G0431*
  CCI  
$102.99
 
Benzodiazepine, quant.
80154
 
$26.20
Benzodiazepine, qual.
G0431*
  CCI  
$102.99
 
Buprenorphine (opiates), quant.
83925
 
$27.56
Buprenorphine, qual.
G0431*
  CCI  
$102.99
 
Cocaine, quant.
82520
 
$21.47
Cocaine, qual.
G0431*
  CCI  
$102.99
 
Creatinine, urine
82570
 
$7.33
 
Ecstasy (drug NOS), quant.
80299
 
$19.40
Ecstasy, qual.
G0431*
  CCI  
$102.99
 
Ethanol, quant.
82055
 
$15.30
 
Methadone, quant.
83840
 
$23.13
Methadone, qual.
G0431*
  CCI  
$102.99
 
Opiates, quant.
83925
 
$27.56
Opiates, qual.
G0431*
  CCI  
$102.99
 
Oxycodone, quant.
83925
 
$27.56
Oxycodone, qual.
G0431*
  CCI  
$102.99
 
Phenyclidine (PCP), quant.
80299
 
$19.40
Phenyclidine (PCP), qual.
G0431*
  CCI  
$102.99
 
Propoxyphene, quant.
83925
 
$27.56
Propoxyphene, qual.
G0431*
  CCI  
$102.99
 
Salicylates, quant.
80196
 
$10.05
Salicylates, qual.
G0431*
  CCI  
$102.99
 
THC Cannaboids, quant.
80299
 
$19.40
THC Cannaboids, qual.
G0431*
  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.