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Problems billing drug screenings

dboutwell

Networker
Messages
26
Location
Panama City, FL
Best answers
0
I am having trouble understanding how to bill for drug screens. My doctor gave me the code G0434 x 11 units to bill. My claim has denied. After research do I bill with 1 unit 11 different times or just bill once with G0434 x 1 unit. I will appreciate any input.
Thanks
 

jmcpolin

True Blue
Messages
841
Location
Midvale, UT
Best answers
0
This code is used to report simple testing methods, such as dipsticks, cups, cassettes, and cards, that give visual results. It also includes tests that may be read using a scanner or a complex reader. This code should be used to report any other type of drug screening test defined as a CLIA waved test or a moderate complexity test, other than chromatographic. ]This code is reported per patient encounter regardless of the number of drug classes tested.
 

dboutwell

Networker
Messages
26
Location
Panama City, FL
Best answers
0
I have the same question with CPT code G0431 x 11 units. This one has denied also. Do we bill with 1 unit regardless of the number of drugs tested. Thanks again for any input.
 
Messages
99
Location
Muncie, IN
Best answers
0
Why is Indiana Medicaid not accepting 80101 x 9 units (denied for units)? They have also denied G0434 x1 unit when I tried it (denied for non-covered procedure)... I have ask and I am not receiving any help regarding this from our Medicaid Rep. What should my next step be?
 
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