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1. PLEASE SELECT YOUR STATE BEFORE CONTINUING:



DRUG SCREENING/TOXICOLOGY


LABORATORY-BASED OR CHEMISTRY ANALYZER DRUGS OF ABUSE TESTING


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Screening
Presumptive Screen, laboratory-based or chemistry analyzer (i.e. ImmTox™)
*
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CCI   MUE
N/A
N/A
Confirmation
Definitive (Confirmation) Testing* (1-7 analytes)
*
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CCI   MUE
N/A
N/A
Definitive (Confirmation) Testing* (8-14 analytes)
*
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CCI   MUE
N/A
N/A
Definitive (Confirmation) Testing* (15-21 analytes)
*
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CCI   MUE
N/A
N/A
Definitive (Confirmation) Testing* (22 or more analytes)
*
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CCI   MUE
N/A
N/A



ALCO SCREEN®


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Alco-Screen® 02 Saliva Alcohol Test – DOT APPROVED
*
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CCI   MUE
N/A
N/A
Alco-Screen® Alcohol Test



EZ SPLIT KEY® CUP


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
AMP, COC, OPI, PCP, THC, (CR, GL, NI, OX, PH, SG)
*
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CCI   MUE
N/A
N/A
COC, mAMP, THC
COC, mAMP, OPI, THC
AMP, COC, mAMP, OPI, THC
AMP, COC, OPI, PCP, THC
COC, mAMP, OPI, PCP, THC
AMP, COC, mAMP, OPI, PCP, THC
AMP, BZO, COC, mAMP, OPI, THC
*
*Click here to login.
CCI   MUE
N/A
N/A
COC, mAMP, MDMA, OPI, OXY, THC
AMP300, COC150, mAMP500, MDMA, OPI, PCP, THC
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, THC
AMP, BAR, BUP, BZO, COC150, mAMP, MDMA, MOP, MTD, OXY, PPX, THC
COC, mAMP, OPI, THC (OX, PH, SG)
*
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CCI   MUE
N/A
N/A
AMP, COC, mAMP, OPI, THC (CR, GL, NI, OX, PH, SG)
AMP300, COC150, mAMP500, MDMA, OPI, THC (CR, OX, PH,)
*
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CCI   MUE
N/A
N/A
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, THC (OX, PH, SG)



ICASSETTE®


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Fentanyl
*
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CCI   MUE
N/A
N/A
THC
*
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CCI   MUE
N/A
N/A
Amphetamine (AMP) Single Test Cassette
*
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CCI   MUE
N/A
N/A
Buprenorphine (BUP) Single Test Cassette
Benzodiazepine (BZO) Single Test Cassette (Box of 25)
Benzodiazepine (BZO) Single Test Cassette (Box of 40)
Cocaine (COC) Single Test Cassette (Box of 25)
Cocaine (COC) Single Test Cassette (Box of 40)
Methamphetamine (mAMP) Single Test Cassette (Box of 40)
Ecstasy (MDMA) Single Test Cassette (Box of 25)
Morphine (MOP) Single Test Cassette (Box of 25)
Morphine (MOP) Single Test Cassette (Box of 40)
Methadone (MTD) Single Test Cassette (Box of 40)
Opiate (OPI) 2,000 Single Test Cassette (Box of 25)
Oxycodone (OXY) Single Test Cassette (Box of 25)
Oxycodone (OXY) Single Test Cassette (Box of 40)
Marijuana (THC) Single Test Cassette (Box of 25)
Marijuana (THC) Single Test Cassette (Box of 25)
*
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CCI   MUE
N/A
N/A
COC, THC (Box of 25)
COC, mAMP, OPI, THC (Box of 25)
COC, mAMP, OPI, THC (Box of 25)
AMP, COC, mAMP, OPI, THC (Box of 25)
AMP, COC, mAMP, OPI, THC (Box of 25)
AMP, COC, OPI, PCP, THC (Box of 25)
AMP, COC, OPI, PCP, THC (Box of 25)
COC, mAMP, OPI, PCP, THC (Box of 25)
COC, mAMP, OPI, PCP, THC (Box of 25)
AMP, COC, mAMP, OPI, PCP, THC (Box of 25)
AMP, BZO, COC, mAMP, OPI, THC (Box of 25)
*
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CCI   MUE
N/A
N/A
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC (Box of 25)
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC (Box of 25)
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, TCA, THC (Box of 25)
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, TCH, THC (Box of 25)
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PCP, THC (Box of 25)
AMP, BAR, BZO, COC, mAMP, MOP, OXY, PCP, PPX, TCA, THC (Box of 25)
*
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CCI   MUE
N/A
N/A
iCassette® DX AMP, BAR, BZO, COC, MDMA, MOP, OXY, PCP, PPX, TCA, THC



ICUP®


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
COC, mAMP, THC
*
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CCI   MUE
N/A
N/A
COC, OPI, THC
AMP, COC, mAMP, MDMA, OPI, PCP, THC
AMP, BAR, BZO, COC, mAMP, OPI, PCP, PPX, THC
AMP, BAR, BZO, COC, mAMP, MDMA, OPI, OXY, PPX, THC
AMP, BAR, BUP, BZO, COC, mAMP, MTD, OPI, OXY, PCP, PPX, TCA, THC
iCup® AD
COC, mAMP, OPI, THC (OX, PH, SG)
iCup® AD
AMP, COC, mAMP, OPI, THC (OX, PH, SG)
iCup® AD
AMP, COC, OPI, PCP, THC (OX, PH, SG)
iCup® AD
COC, mAMP, OPI, PCP, THC (OX, PH, SG)
iCup® AD
AMP, COC, mAMP, OPI, PCP, THC (OX, PH, SG)
iCup® AD
AMP, BZO, COC, mAMP, OPI, THC (OX, PH, SG)
iCup® AD
COC, mAMP, MTD, OPI, OXY, THC (OX, CR, PH)
iCup® AD
AMP300, COC, MDMA, OPI, OXY, THC (OX, PH, SG)
iCup® AD
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC (CR, GL, NI, OX, PH, SG)
iCup® AD
AMP, BZO, COC, mAMP, MOP, OXY, PCP, THC (OX, CR, SG)
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC (CR, GL, NI, OX, PH, SG)
iCup® AD
BZO, COC, mAMP500, MDMA, MOP, MTD, OXY, PPX, THC (OX, CR, PH)
iCup® AD
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, TCA, THC (CR, GL, NI, OX, PH, SG)
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PPX, THC (OX, CR, PH)
iCup® AD
AMP, BAR, BZO, COC, mAMP, MDMA, MOP, OXY, PCP, THC (OX, CR, PH)
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PCP, PPX, TCA, THC (OX, CR, PH)
iCup® Rx
BUP10, BZO300, MTD300, OPI300, OXY100 (CR, NI, OX, PH, SG)
*
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CCI   MUE
N/A
N/A
iCup® Dx Pro 2
AMP, BZO, COC, OPI300, OXY, THC (CR, SG, OX)
iCup® Dx Pro 2
AMP, BUP, BZO, COC, OPI300, OXY, THC (CR, SG, OX)
iCup® Dx Pro 2
AMP, BAR, BUP, BZO, COC, MET, OPI300, OXY, MTD, THC (CR, SG, OX)
iCup® Dx Pro 2
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI300, OXY, PCP, TCA, THC (CR, NI, PH, OX, SG)
iCup® Dx Pro 2
AMP, COC, OPI2000, PCP, THC ( CR, NI, OX, PH, SG)
iCup® Dx Pro 2
AMP, COC, OPI2000, MET(mAMP), THC (CR, NI, OX, PH, SG)
iCup® Dx Pro 2
AMP, BAR, BZO, COC, MAMP, MDMA, MTD, OPI2000, OXY, THC (CR, NI, OX, PH, SG)



ISCREEN®


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Morphine (OPI) (300)
*
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CCI   MUE
N/A
N/A
Ecstasy (MDMA)
Opiate (OPI) (2,000)
Oxycodone (OXY)
Propoxyphene (PPX)
Tricyclic Antidepressants (TCA)
Marijuana (THC)
COC, THC
mAMP, THC
COC, mAMP, THC
COC, OPI, THC
AMP, COC, OPI, THC
AMP, COC, OPI, THC
COC, mAMP, OPI, THC
COC, mAMP 500, MOP, THC
BZO, COC, OPI, THC
COC, MDMA, OPI, THC
AMP, BAR, COC, THC
COC, mAMP, PCP, THC
AMP, COC, OXY, THC
BZO, COC, OXY, THC
COC, THC, OPI, mAMP, PCP
AMP, COC, OPI, PCP, THC
AMP, COC, mAMP, OPI, THC
Card BZO, COC, mAMP, MOR THC
AMP, COC, mAMP, MOP, THC
AMP, BZO, COC, OPI, THC
COC, MOP, mAMP, PCP, THC
AMP, COC, mAMP, MDMA, OPI, THC
AMP, COC, mAMP, OPI, OXY, THC
AMP, BZO, COC, MTD, OPI, THC
AMP, BZO, COC, mAMP, OPI, THC
AMP, COC, mAMP, OPI, PCP, THC
BZO, COC, mAMP, MOP, PCP, THC
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC
AMP300, COC150, mAMP500, MOP, OXY, PCP, PPX, THC
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC
AMP, BZO, COC, mAMP, MOP, MTD, OXY, PPX, THC
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, TCA, THC
AMP, BAR, BZO, COC, mAMP, MOP, MTD, PCP, TCA, THC
AMP, BAR, BZO, BUP, COC, mAMP, MDMA, MTD, OPI300, MTD, OXY, PCP, THC
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, PCP, PPX, THC
COC, THC, OPI, AMP, mAMP (OX, SG, PH, NI, GL, CR)
COC, THC, OPI, AMP, mAMP, BZO (OX, SG, PH, NI, GL, CR)
COC, THC, OPI, AMP, mAMP, PCP, BZO, BAR, MTD, TCA (OX, SG, PH, NI, GL, CR)
iScreen® Breath Alcohol Detector .02
*
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CCI   MUE
N/A
N/A
iScreen® Breath Alcohol Detector .05
iScreen® Breath Alcohol Detector .08
iScreen® Saliva Alcohol Test Strips (BX/25)
*
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CCI   MUE
N/A
N/A
Amphetamine (AMP)
*
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CCI   MUE
N/A
N/A
Barbiturate (BAR)
Buprenorphine (BUP)
Benzodiazepine (BZO)
Cocaine (COC)
Methamphetamine (mAMP)
Methadone (MTD)
iScreen® DX2 Dip Card Methamphetamine (mAMP) Single Dip Device
*
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CCI   MUE
N/A
N/A
iScreen® DX2 Dip Card AMP, BAR, BZO, BUP, COC, mAMP, MDMA, MOP, MTD, OXY, TCA, THC
iScreen® DX2 Dip Card AMP, BAR, BZO, COC, mAMP, MDMA, MOP, MTD, OXY, PCP, TCA, THC



T-CUP WITH SPECIMEN VALIDITY


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
AMP, BAR, BUP, BZO, COC, MDMA, MET (mAMP), MTD, OPI300, OXY, PCP, PPX, TCA, THC (CR, PH, SG)
*
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CCI   MUE
N/A
N/A



T-DIP CARDS


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Benzodiazepine (BZO300) Single Dip Device
*
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CCI   MUE
N/A
N/A
Buprenorphine (BUP10) Single Dip Device
Cocaine (COC300) Single Dip Device
Oxycodone (OXY100) Single Dip Device
Methadone (MTD) Single Dip Device
Ecstasy (MDMA500) Single Dip Device
MOP (OPIATE300) Single Dip Device
AMP, COC, OPI2000, PCP, THC
AMP, COC, MET (mAMP), OPI2000, THC
AMP, BAR, BZO, BUP, COC, MET (mAMP), OPI2000, MTD, OXY, THC
AMP, BAR, BZO, COC, MET (mAMP), MDMA, MOP (OPI300), MTD, OXY, PCP, TCA, THC



TRIAGE® DRUGS OF ABUSE PANELS (VISUAL)


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
DOA Panel + MTD
*
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CCI   MUE
N/A
N/A
DOA Panel + TCA



USCREEN


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
THC50, COC300, MOP300, AMP1000, MET1000, BAR300, BZO300, PCP25, MDMA500, MTD300, OXY100, TCA1000 (CR,SG,PH)
*
*Click here to login.
CCI   MUE
N/A
N/A
THC50, COC300, MOP300, AMP1000, MET1000, PCP25, BZO300, BAR300, BUP10, MDMA500, MTD300, OXY100 (CR, SG, PH)
COC300, MOP300, AMP1000, MET1000, PCP25, BZO300, BAR300, BUP10, MDMA500, MTD300, OXY100, TCA1000 (CR, SG, PH)
AMP500, BAR, BUP, BZO, COC150, MOP300, MET500, MDMA, MTD, OXY, PCP, PPX, THC, TCA (CR,NI,OX, PH, SG)



ADDITIONAL DRUGS OF ABUSE TESTS


TEST NAME
 
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Signify® ER
*
*Click here to login.
CCI   MUE
N/A
N/A





1Providers operating under a CLIA waiver should use the QW modifier when appropriate.

2CCI, Correct Coding Initiative edits; NCD, National Coverage Determination; LCD, Local Coverage Determination; LCA, Local Coverage Article

3Reimbursement information source: Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2024, available at:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Laboratory-Fee-Schedule-Files.html



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