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While Sequestration is in effect, all Medicare payments for services will be reduced by 2%.
The Medicare fees below do not reflect this reduction. Click here for more information.

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Drug Screening/Toxicology


Alere Triage® TOX Drug Screen (Automated)

Test Name
Order #
CPT® Code1
CPT® Code Description
Medicare Coverage2
National
Medicare
Reimbursement3
National
Medicaid
Reimbursement4
TOX Drug Screen
(Medicare)
94400
*
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CCI    
$ 79.81
N/A



Triage® Drugs of Abuse Panels (Visual)

Test Name
Order #
CPT® Code1
CPT® Code Description
Medicare Coverage2
National
Medicare
Reimbursement3
National
Medicaid
Reimbursement4
DOA Panel + MTD
90008
*
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CCI    
$ 14.96
N/A
DOA Panel + TCA
92000
*
*Click here to login.
CCI    
$ 14.96
N/A



Additional Drugs of Abuse Tests

Test Name
Order #
CPT® Code1
CPT® Code Description
Medicare Coverage2
National
Medicare
Reimbursement3
National
Medicaid
Reimbursement4
Signify® ER
01P48-25
*
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CCI    
$ 14.96
N/A
Alere iCup® Dx (All Inclusive Cup)
BZO, COC, mAMP, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-167-013
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iCup® Dx (All Inclusive Cup)
AMP, BZO, COC, mAMP, MTD, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-187-016
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iCup® Dx (All Inclusive Cup)
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, THC (CR, NI, PH, BL, SG)
I-DXA-1107-142
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iCup® Dx (All Inclusive Cup)
AMP, BAR, BZO, COC, mAMP, MDMA, MTD, OPI, OXY, PCP, TCA, THC (CR, NI, PH, BL, SG)
I-DXA-1127-023
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iCassette® Dx (Pipette)
AMP, BAR, BZO, COC, MDMA, MOP, OXY, PCP, PPX, TCA, THC
I-DCB-1115-011
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iScreen® Dx (Dip Card)
AMP, BAR, BZO, COC, mAMP, MOP, MTD, OXY, TCA, THC
IS10-DX
*
*Click here to login.
CCI    
$ 14.96
N/A
Alere iScreen® Dx (Dip Card) AMP, BAR, BZO, COC, mAMP, MDMA, MOP, MTD, OXY, PCP, TCA, THC
IS12-DX
*
*Click here to login.
CCI    
$ 14.96
N/A
ImmuTest Multi-Drug Screen Card (Dip Card) AMP, BAR, BZO, COC, MDMA, MET, MTD, OPI, OXY, PCP, TCA, THC
IMD-12MO3
*
*Click here to login.
CCI    
$ 14.96
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

3Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2017, available at:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Laboratory-Fee-Schedule-Files.html



CPT copyright 2016 American Medical Association. All rights reserved.

The Medicare information provided on this website is current as of 03/30/2017, was obtained from publicly available sources, and is subject to change without notice. All content on this website is for informational purposes only, is general in nature, and does not cover all situations or all payers' rules and policies.

Alere cannot guarantee or promise coverage or payment for any particular item or service from any payer or health benefit plan. To be eligible for coverage, an item or service must be medically necessary for the individual patient, have been performed as reported, and appropriate documentation should be available in the patient's medical record.

It is the individual provider's responsibility to determine appropriate, medically necessary coding, charges and claims for a particular service. Providers are responsible for determining medical necessity for all Medicare and/or Medicaid recognized panel tests. To be eligible for coverage, each component test must be medically necessary for the individual patient. In addition, for tests grouped on single cassettes or cartridges, providers are responsible for determining the medical necessity of each test for each patient. Laws, regulations and payer policies regarding appropriate coding and payment levels can vary greatly from payer to payer and change over time. Alere recommends that providers contact their own regional payers to determine appropriate coding and charge or payment levels.

Alere specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information on this website.

This information is compiled and maintained by CodeMap® which remains solely responsible for its content.

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© 2017 Alere. All rights reserved.