Results 1 to 2 of 2

Drug test coding

  1. #1
    Default Drug test coding
    New Call-to-action
    would anyone be able to give me some insight or tell we where to find more information with coding 80307, G0481, G0482, G0483 drug testing. i am trying to find what the documentation requirements are, what a 14 class drug test would look like? any guidance would be appreciated.

  2. #2
    Location
    Glendale, Arizona
    Posts
    23
    Default Drug Test Coding...
    Quote Originally Posted by tammyboyer View Post
    would anyone be able to give me some insight or tell we where to find more information with coding 80307, G0481, G0482, G0483 drug testing. i am trying to find what the documentation requirements are, what a 14 class drug test would look like? any guidance would be appreciated.
    80307- Drug test(s), presumptive, any number of drug classes, any number of devices or procedures, by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service

    G0480-Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift);; qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if performed.

    G0481- 8-14
    G0482- 15-21
    G0483- 22+

    A 14 class drug screen on an instrument being billed with 80307 could look like the below list, but this is customizable by lab/physician and most do not have this many classes on a presumptive instrument.
    Amphetamines
    Barbiturates
    Benzodiazepines
    Oxycodone
    Opiates
    Methadone
    Tricyclic Antidepressants
    THC
    Cocaine
    PCP
    EtG (ethyl glucoronide) one of the long acting metabolites of alcohol
    Buprenorphine
    Fentanyl (new reagent as of 2018)
    Pregabalin

    A 14 drug class definitive class test could include any of the above, along with some of these other classes:
    Antidepressant; serotonergic
    Antipsychotics
    Skeletal muscle relaxants
    Sedative Hypnotics.

    One note, definitive testing of more than 1-7 classes is going to require some very detailed documentation of the medical necessity of each drug class. Definitive testing is primarily covered in three scenarios:
    1. There is not a commercially available presumptive screen for that class, and that drug class is relevant in the patient's history (Rx or History of Abuse)
    2. The presumptive screen was positive requiring definitive testing to provide individual drug data
    3. The presumptive screen was unexpected negative for a prescribed medication of abuse.


    Hope that helps...
    Kara McVey, CPC, CPCO, CPMA
    ILEX Consulting LLC
    Scottsdale, Arizona 85266
    kara@ilexconsultingllc.com

    (602) 373.3894 (c)

Similar Threads

  1. Drug test and E/M
    By cpccat in forum Anesthesia
    Replies: 4
    Last Post: 01-04-2018, 05:30 PM
  2. drug testing and getting paid by medicare and medicaid for G0478 Drug test
    By seanaenae in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 02-24-2016, 10:46 AM
  3. Coding for a drug test
    By AMDLnghrns in forum Anesthesia
    Replies: 3
    Last Post: 07-22-2014, 01:01 AM
  4. Quantitative Drug Test Coding!! Help
    By cvpeachy@yahoo.com in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 05-16-2014, 11:18 AM
  5. Drug Test Proper Coding
    By hoseysa in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-05-2009, 09:26 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.