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80307 and G0483 - Billing

  1. #1
    Default 80307 and G0483 - Billing
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    Hi,
    As everyone knows that UDS (80307 - detect the presence of drugs or drug classes
    in urine ) and UDC (G0483 - (Identify the specific drug in the Urine, A final diagnosis that is made after getting the results of tests) codes.

    Now, my question is do we billed them together on the same DOS, because 80307 once it gets positive then only lab performs G0483 .
    Note : our providers order them together everytime!

    I got several rejections on it and insurance companies sometimes pays only 80307.


    Any input is helpful.

    Thank You.

  2. #2
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    Ordering both every time on every patient falls under Fraud, Waste and Abuse. G0483 is not medically necessary on a negative 80307.
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  3. #3
    Default Thank you
    Thank you so much,

    but please give me answer that if 80307 is positive than can we billed g0483 next day , alone?

    I will appreciate reply.

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