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Confirmation Lab CPT codes for UDS

R

robertjsenese

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26
Location
Jupiter, FL
Any help would be greatly appreciated.

I am using billing code 80301 and G0431 for a confirmation lab.

The reimbursement rate is so low, across the board for all insurance companies.

I do not know what I am doing wrong, or what the proper CPT code should be for a confirmation lab.

Thank you.
 
G0431 is for the qualitative high complexity test. Make sure you have the right CLIA and COLA certifications before billing that one. However I do not believe it is really for confirmation testing (unless its a qualitative confirmation of a instant cup)

as for quantitative mass spec testing by individual substance a good resource is here

https://www.aapc.com/memberarea/forums/showthread.php?t=115068

hope this helps
 
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