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Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 through December 31, 2020.
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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  
N/A
N/A
Confirmation
Definitive (Confirmation) Testing* (1-7 analytes)
*
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CCI  
N/A
N/A
Definitive (Confirmation) Testing* (8-14 analytes)
*
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CCI  
N/A
N/A
Definitive (Confirmation) Testing* (15-21 analytes)
*
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CCI  
N/A
N/A
Definitive (Confirmation) Testing* (22 or more analytes)
*
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CCI  
N/A
N/A



ALCO SCREEN®


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Alco-Screen® 02 Saliva Alcohol Test – DOT APPROVED
56024
*
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CCI  
N/A
N/A
Alco-Screen® Alcohol Test
55001-25



AMEDICHECK™


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, THC (OX,PH,SG)
C-C1012A-3A
*
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CCI  
N/A
N/A
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, (OX,PH,SG)
C-C1102A
AMP, BAR, BZO, COC, MOP, mAMP, MTD, MDMA, OXY, PCP, TCA, THC
C-C1202A
COC, THC, OPI, AMP, mAMP (OX, SG, PH)
C-C0503A-3A
COC, THC, OPI, AMP, PCP (OX, SG, PH)
C-C0501A-3A
COC, THC, OPI, mAMP, PCP (OX, SG, PH)
C-C0502A-3A
COC, THC, OPI, AMP, mAMP, PCP (OX, SG, PH)
C-C0601A-3A



EZ SPLIT KEY® CUP


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
AMP, COC, OPI, PCP, THC, (CR, GL, NI, OX, PH, SG)
DUD-157-023-019
*
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CCI  
N/A
N/A
COC, mAMP, THC
DOA-1237-019
COC, mAMP, OPI, THC
DOA-1247-019
AMP, COC, mAMP, OPI, THC
DOA-1257-019
AMP, COC, OPI, PCP, THC
DOA-2257-019
COC, mAMP, OPI, PCP, THC
DOA-3257-019
AMP, COC, mAMP, OPI, PCP, THC
DOA-1167-019
AMP, BZO, COC, mAMP, OPI, THC
DOA-2167-019
*
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CCI  
N/A
N/A
COC, mAMP, MDMA, OPI, OXY, THC
DOA-167-321-019
AMP300, COC150, mAMP500, MDMA, OPI, PCP, THC
DOA-177-161
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC
DOA-1187-019
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, THC
DOA-21107-019
AMP, BAR, BUP, BZO, COC150, mAMP, MDMA, MOP, MTD, OXY, PPX, THC
DOA-1127-041-19
COC, mAMP, OPI, THC (OX, PH, SG)
DUA-147-012-019
*
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CCI  
N/A
N/A
AMP, COC, mAMP, OPI, THC (CR, GL, NI, OX, PH, SG)
DUD-157-012-019
AMP300, COC150, mAMP500, MDMA, OPI, THC (CR, OX, PH,)
DUE-167-711
*
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CCI  
N/A
N/A
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, THC (OX, PH, SG)
DUA-1107-021-19



ICASSETTE®


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
THC
I-DTH-102
*
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CCI  
N/A
N/A
Amphetamine (AMP) Single Test Cassette
I-DAM-102
*
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CCI  
N/A
N/A
Buprenorphine (BUP) Single Test Cassette
DBU-102
Benzodiazepine (BZO) Single Test Cassette (Box of 25)
I-DBZ-102
Benzodiazepine (BZO) Single Test Cassette (Box of 40)
DBZ-102
Cocaine (COC) Single Test Cassette (Box of 25)
I-DCO-102
Cocaine (COC) Single Test Cassette (Box of 40)
DCO-102
Methamphetamine (mAMP) Single Test Cassette (Box of 40)
DMA-102
Ecstasy (MDMA) Single Test Cassette (Box of 25)
I-DMD-102
Morphine (MOP) Single Test Cassette (Box of 25)
I-DMO-102
Morphine (MOP) Single Test Cassette (Box of 40)
DMO-102
Methadone (MTD) Single Test Cassette (Box of 40)
DMT-102
Opiate (OPI) 2,000 Single Test Cassette (Box of 25)
I-DOP-102
Oxycodone (OXY) Single Test Cassette (Box of 25)
I-DOX-102
Oxycodone (OXY) Single Test Cassette (Box of 40)
DOX-102
Marijuana (THC) Single Test Cassette (Box of 25)
I-DTH-102
Marijuana (THC) Single Test Cassette (Box of 25)
DTH-102
*
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CCI  
N/A
N/A
COC, THC (Box of 25)
DOA-1125
COC, mAMP, OPI, THC (Box of 25)
I-DOA-1145
COC, mAMP, OPI, THC (Box of 25)
DOA-1145
AMP, COC, mAMP, OPI, THC (Box of 25)
I-DOA-1155
AMP, COC, mAMP, OPI, THC (Box of 25)
DOA-1155
AMP, COC, OPI, PCP, THC (Box of 25)
I-DOA-2155
AMP, COC, OPI, PCP, THC (Box of 25)
DOA-2155
COC, mAMP, OPI, PCP, THC (Box of 25)
I-DOA-3155
COC, mAMP, OPI, PCP, THC (Box of 25)
DOA-3155
AMP, COC, mAMP, OPI, PCP, THC (Box of 25)
I-DOA-1165
AMP, BZO, COC, mAMP, OPI, THC (Box of 25)
DOA-2165
*
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CCI  
N/A
N/A
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC (Box of 25)
I-DOA-1185
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC (Box of 25)
I-DOA-1195
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, TCA, THC (Box of 25)
I-DOA-11105
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, TCH, THC (Box of 25)
DOA-1105-021
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PCP, THC (Box of 25)
DOA-1105-051
AMP, BAR, BZO, COC, mAMP, MOP, OXY, PCP, PPX, TCA, THC (Box of 25)
DCB-1115-011
*
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CCI  
N/A
N/A
iCassette® DX AMP, BAR, BZO, COC, MDMA, MOP, OXY, PCP, PPX, TCA, THC
I-DCB-1115-011



ICUP®


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
COC, mAMP, THC
I-DOA-1237
*
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CCI  
N/A
N/A
COC, OPI, THC
I-DOA-3137
AMP, COC, mAMP, MDMA, OPI, PCP, THC
I-DOA-177-031
AMP, BAR, BZO, COC, mAMP, OPI, PCP, PPX, THC
I-DOA-197-041
AMP, BAR, BZO, COC, mAMP, MDMA, OPI, OXY, PPX, THC
I-DOA-1107-051
AMP, BAR, BUP, BZO, COC, mAMP, MTD, OPI, OXY, PCP, PPX, TCA, THC
I-DOA-1137-011
iCup® AD
COC, mAMP, OPI, THC (OX, PH, SG)
I-DUA-147-012
iCup® AD
AMP, COC, mAMP, OPI, THC (OX, PH, SG)
I-DUA-157-013
iCup® AD
AMP, COC, OPI, PCP, THC (OX, PH, SG)
I-DUA-157-023
iCup® AD
COC, mAMP, OPI, PCP, THC (OX, PH, SG)
I-DUA-157-034
iCup® AD
AMP, COC, mAMP, OPI, PCP, THC (OX, PH, SG)
I-DUA-167-012
iCup® AD
AMP, BZO, COC, mAMP, OPI, THC (OX, PH, SG)
I-DUA-167-022
iCup® AD
COC, mAMP, MTD, OPI, OXY, THC (OX, CR, PH)
I-DUE-167-342
iCup® AD
AMP300, COC, MDMA, OPI, OXY, THC (OX, PH, SG)
I-DUA-167-291
iCup® AD
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC (CR, GL, NI, OX, PH, SG)
I-DUD-187-013
iCup® AD
AMP, BZO, COC, mAMP, MOP, OXY, PCP, THC (OX, CR, SG)
I-DUE-187-071
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC (CR, GL, NI, OX, PH, SG)
I-DUD-197-014
iCup® AD
BZO, COC, mAMP500, MDMA, MOP, MTD, OXY, PPX, THC (OX, CR, PH)
I-DUD-197-221
iCup® AD
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, PCP, TCA, THC (CR, GL, NI, OX, PH, SG)
I-DUD-1107-012
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PPX, THC (OX, CR, PH)
I-DUE-1107-141
iCup® AD
AMP, BAR, BZO, COC, mAMP, MDMA, MOP, OXY, PCP, THC (OX, CR, PH)
I-DUE-1107-291
iCup® AD
AMP, BAR, BZO, COC, mAMP, MTD, OPI, OXY, PCP, PPX, TCA, THC (OX, CR, PH)
I-DUE-1127-022
iCup® Dx
BZO, COC, mAMP, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-167-013
*
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CCI  
N/A
N/A
iCup® Dx
AMP, BZO, COC, mAMP, MTD, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-187-016
iCup® Dx
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-1107-142N
iCup® Dx
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, PCP, TCA, THC (CR, NI, PH, BL, SG)
I-DXA-1127-023N
iCup® Dx
AMP500, BAR, BZO, COC150, MET500, MDMA, MTD, OPI300, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-10
iCup® Dx
AMP500, BAR, BUP, BZO, COC150, MET500, MDMA, MTD, OPI300, OXY, PCP, TCA, THC (CR, NI, PH, BL, SG)
I-DXA-13B
iCup® Dx
AMP500, BAR, BUP, BZO, COC150, MET500, MDMA, MTD, OPI300, OXY, PCP, PPX, TCA, THC (CR, NI, PH, BL, SG)
I-DXA-2147-011
iCup® Dx 14
AMP500, BAR, BZO, BUP, COC150, mAMP500, MDMA, MTD, OPI300, OXY, PCP, PPX, TCA, THC
I-DX-1147-022
iCup® Dx Pro
AMP, BZO, COC, mAMP, MTD, OPI300, OXY, THC (CR, SG, PH)
I-DXP-187-02
iCup® Dx Pro
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, MOP(OPI300), OXY, TCA, THC (OX, SG, PH)
I-DXP-1117-01
iCup® Dx Pro
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, MOP(OPI300), OXY, PCP, TCA, THC
I-DXP-1127-02
iCup® Rx
BUP10, BZO300, MTD300, OPI300, OXY100 (CR, NI, OX, PH, SG)
I-RXA-157-01
iCup® Dx Pro 2
AMP, BZO, COC, OPI300, OXY, THC (CR, SG, OX)
I-DXP-167-02
iCup® Dx Pro 2
AMP, BUP, BZO, COC, OPI300, OXY, THC (CR, SG, OX)
I-DXP-177-01
iCup® Dx Pro 2
AMP, BAR, BUP, BZO, COC, MET, OPI300, OXY, MTD, THC (CR, SG, OX)
I-DXP-2107-01
iCup® Dx Pro 2
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI300, OXY, PCP, TCA, THC (CR, NI, PH, OX, SG)
I-DXP-1127-3
iCup® Dx Pro 2
AMP, COC, OPI2000, PCP, THC ( CR, NI, OX, PH, SG)
I-DXP-5A
iCup® Dx Pro 2
AMP, COC, OPI2000, MET(mAMP), THC (CR, NI, OX, PH, SG)
I-DXP-5M
iCup® Dx Pro 2
AMP, BAR, BZO, COC, MAMP, MDMA, MTD, OPI2000, OXY, THC (CR, NI, OX, PH, SG)
I-DXP-10



ISCREEN®


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Morphine (OPI) (300)
IS1 OPI300 DIP
DMO-114
*
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CCI  
N/A
N/A
Ecstasy (MDMA)
DMD-114
Opiate (OPI) (2,000)
IS1 OPI2000
DOP-114
Oxycodone (OXY)
IS1 OXY DIP
DOX-114
Propoxyphene (PPX)
DPP-114
Tricyclic Antidepressants (TCA)
IS1 TCA
DTC-114
Marijuana (THC)
IS1 THC DIP
DTH-114
COC, THC
IS2 CT DIP
DOA-124
mAMP, THC
IS2 MT DIP
COC, mAMP, THC
IS3 MCT DIP
DOA-234
COC, OPI, THC
IS3 OCT DIP
DOA-134
AMP, COC, OPI, THC
IS4 A DIP
DOA-244
AMP, COC, OPI, THC
DOA-244
COC, mAMP, OPI, THC
IS4 M DIP
DOA-144
COC, mAMP 500, MOP, THC
I-DOA-144-481
BZO, COC, OPI, THC
DOA-144-341
COC, MDMA, OPI, THC
DOA-144-941
AMP, BAR, COC, THC
DOA-144-971
COC, mAMP, PCP, THC
DOA-144-981
AMP, COC, OXY, THC
DOA-144-991
BZO, COC, OXY, THC
DOA-544
COC, THC, OPI, mAMP, PCP
IS5 MP DIP
DOA-354
AMP, COC, OPI, PCP, THC
IS5 A DIP
DOA-154
AMP, COC, mAMP, OPI, THC
IS5 M DIP
DOA-254
Card BZO, COC, mAMP, MOR THC
IS5 MB DIP
DOA-654
AMP, COC, mAMP, MOP, THC
DOA-454
AMP, BZO, COC, OPI, THC
DOA-754
COC, MOP, mAMP, PCP, THC
DOA-1554
AMP, COC, mAMP, MDMA, OPI, THC
DOA-1364
AMP, COC, mAMP, OPI, OXY, THC
DOA-164-551
AMP, BZO, COC, MTD, OPI, THC
I-DOA-364-OBC
DOA-364
AMP, BZO, COC, mAMP, OPI, THC
IS6 B DIP
DOA-264
AMP, COC, mAMP, OPI, PCP, THC
IS6 MAP DIP
DOA-164
BZO, COC, mAMP, MOP, PCP, THC
DOA-764
AMP, BAR, BZO, COC, mAMP, OPI, PCP, THC
IS8 DIP
DOA-184
AMP300, COC150, mAMP500, MOP, OXY, PCP, PPX, THC
DOA-184-271T-0B
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, THC
IS9 DRUG SCREEN
DOA-194
AMP, BZO, COC, mAMP, MOP, MTD, OXY, PPX, THC
I-DOA-194-191
AMP, BAR, BZO, COC, mAMP, MTD, OPI, PCP, TCA, THC
IS10 PANEL-D12
AMP, BAR, BZO, COC, mAMP, MOP, MTD, PCP, TCA, THC
DOA-2104
AMP, BAR, BZO, BUP, COC, mAMP, MDMA, MTD, OPI300, MTD, OXY, PCP, THC
DOA-1124-081
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, PCP, PPX, THC
DOA-1124-011T-O
COC, THC, OPI, AMP, mAMP (OX, SG, PH, NI, GL, CR)
DUD-154-201
COC, THC, OPI, AMP, mAMP, BZO (OX, SG, PH, NI, GL, CR)
DUD-164-141
COC, THC, OPI, AMP, mAMP, PCP, BZO, BAR, MTD, TCA (OX, SG, PH, NI, GL, CR)
DUD-1104-051
iScreen® Dx
AMP, BAR, BZO, COC, mAMP, MOP, MTD, OXY, TCA, THC
IS10-DX
*
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CCI  
N/A
N/A
iScreen® Dx
AMP, BAR, BZO, COC, mAMP, MDMA, MOP, MTD, OXY, PCP, TCA, THC
IS12-DX
iScreen® Dx
Amphetamine (AMP)
IS1 AMP DX
iScreen® Dx
Barbiturate (BAR)
IS1 BAR-DX
iScreen® Dx
Buprenorphine (BUP)
IS1 BUP-DX
iScreen® Dx
Benzodiazepine (BZO)
IS1 BZO-DX
iScreen® Dx
Cocaine (COC)
IS1 COC-DX
iScreen® Dx
Methamphetamine (mAMP)
IS1 MET-DX
iScreen® Dx
Methadone (MTD)
IS1 MTD-DX
iScreen® Dx
Morphine (MOP)
IS1 MOP-DX
iScreen® Dx
Oxycodone (OXY)
IS1 OXY-DX
iScreen® Dx
Phencyclidine (PCP)
IS1 PCP-DX
iScreen® Dx
Ecstasy (MDMA)
IS1 MDM-DX
iScreen® Dx
Tricyclic Antidepressants (TCA)
IS1 TCA-DX
iScreen® Dx
Marijuana (THC)
IS1 THC-DX
iScreen® Dx
AMP, COC, mAMP, MOP, THC
IS5 M-DX
iScreen® Dx
AMP, BAR, BZO, COC, mAMP, MDMA, MOP, MTD, PCP, THC
IS10-22015-DX
iScreen® Dx
AMP, BAR, BUP, BZO, COC, mAMP, MOP, MTD, OXY, THC
IS10BUP-DX
iScreen® Breath Alcohol Detector .02
I-BA-02
*
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CCI  
N/A
N/A
iScreen® Breath Alcohol Detector .05
I-BA-05
iScreen® Breath Alcohol Detector .08
I-BA-08
iScreen® Saliva Alcohol Test Strips (BX/25)
I-SA-25
*
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CCI  
N/A
N/A
Amphetamine (AMP)
IS1 AMPH DIP
DAM-114
*
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CCI  
N/A
N/A
Barbiturate (BAR)
DBA-114
Buprenorphine (BUP)
DBU-114
Benzodiazepine (BZO)
IS1 BENZO DIP
DBZ-114
Cocaine (COC)
IS1 COC DIP
DCO-114
Methamphetamine (mAMP)
IS1 METH DIP
DMA-114
Methadone (MTD)
IS1 METHADONE D
DMT-114



T-CUP WITH SPECIMEN VALIDITY


TEST NAME
ORDER #
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)
TDOA-1145A3
*
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CCI  
N/A
N/A



T-DIP CARDS


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Benzodiazepine (BZO300) Single Dip Device
WDBZ-114
*
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CCI  
N/A
N/A
Buprenorphine (BUP10) Single Dip Device
WDBU-114
Cocaine (COC300) Single Dip Device
WDCO-114
Oxycodone (OXY100) Single Dip Device
WDOX-114
Methadone (MTD) Single Dip Device
WDMT-114
Ecstasy (MDMA500) Single Dip Device
WDMD-114
MOP (OPIATE300) Single Dip Device
WDMO-114
AMP, COC, OPI2000, PCP, THC
WDOA-154
AMP, COC, MET (mAMP), OPI2000, THC
WDOA-254
AMP, BAR, BZO, BUP, COC, MET (mAMP), OPI2000, MTD, OXY, THC
WDOA-9104
AMP, BAR, BZO, COC, MET (mAMP), MDMA, MOP (OPI300), MTD, OXY, PCP, TCA, THC
WDOA-7125



TRIAGE® DRUGS OF ABUSE PANELS (VISUAL)


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
DOA Panel + MTD
90008
*
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CCI  
N/A
N/A
DOA Panel + TCA
92000



USCREEN


TEST NAME
ORDER #
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)
USSCUPA-12CLIA
*
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CCI  
N/A
N/A
THC50, COC300, MOP300, AMP1000, MET1000, PCP25, BZO300, BAR300, BUP10, MDMA500, MTD300, OXY100 (CR, SG, PH)
USSCUPA-12BUP300CLIA
COC300, MOP300, AMP1000, MET1000, PCP25, BZO300, BAR300, BUP10, MDMA500, MTD300, OXY100, TCA1000 (CR, SG, PH)
USSCUPA-12NTCLIA



ADDITIONAL DRUGS OF ABUSE TESTS


TEST NAME
ORDER #
CPT® CODE1
CPT® CODE DESCRIPTION
MEDICARE COVERAGE2
Please select
MEDICARE3
MEDICAID4
Signify® ER
01P48-25
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CCI  
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 2020, available at:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Laboratory-Fee-Schedule-Files.html



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