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Wiki CPT code 80307

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Mgingras

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Hi All!

I work for an auditing company that reviews/audits claims for multiple different insurance companies. I have come across the following scenario now twice and was hoping for some guidance/clarification. Can/should CPT code 80307 (presumptive drug class screening) be billed on both a professional and facility claim for the same DOS? If not, which one would be the most correct one? Any feedback would be greatly appreciated, thanks!

Maria Gingras RN
 
PC/TC concept doesn't apply to the drug screen codes. I'd say the Facility claim is the correct once. Its not a CLIA waived test so should only be performed by the laboratory with the advanced equipment and CLIA certificate.
 
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