Drug screen coding

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53
Location
Mumbai, Maharashtra
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0
Hi,

For Medicare I am aware that CPT G0434 needs to be used if the drug screen done by multi-class clia waived test kit. ( 11 panel )

For other payers till now I was using CPT 80104. Is this correct ?

This CPT 80104 is yet not added in CLIA waived test list & hence not recognised by many payers resulting in denial of CPT 80104, specifically medicaid plans.

Kindly advise.:confused:
 

btadlock1

Guest
Messages
1,504
Location
Lubbock, TX
Best answers
0
Hi,

For Medicare I am aware that CPT G0434 needs to be used if the drug screen done by multi-class clia waived test kit. ( 11 panel )

For other payers till now I was using CPT 80104. Is this correct ?

This CPT 80104 is yet not added in CLIA waived test list & hence not recognised by many payers resulting in denial of CPT 80104, specifically medicaid plans.

Kindly advise.:confused:
80104 is correct - Medicaid can be weird about what they want, though - they tend to play by their own rules. You should check with your Medicaid provider for guidance. I guarantee that they have information on it - probably online.
 
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