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Need help with 80101 / Drug Screening

  1. #1
    Default Need help with 80101 / Drug Screening
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    Hello,
    I am new to the AAPC discussion forum, and I am in need of help!! I am trying to get clarification on the drug screening codes 80100 & 80101. I work for a local insurance company, I am reviewing bills from doctor's offices, and hospitals for urine drug screens. The bills are already coded, but each facility seems to bill differently so I'm trying to piece everything together and make some sense out of it.

    For example, one bill has 80101 (8 units) along with 99213. Does the 8 units indicate they are doing an individual 8 panel drug screen?

    Another bill that I recived is from the actual lab analyzing the results (it's for a different patient). They are billing with a variety of codes such as: 80154, 82145, 82205, 82570, 83840, 83925, 83986, 83992, 84311, 83805. These codes appear to be from the Chemistry section of the CPT book, are these still considered drug screening codes?

    Any help or guidance would be greatly appreciated...thank you!

    Emily Kress, CPC

  2. Default
    The following two codes 80100 and 80101 are only present in the CPT manual for the screening purpose. Medicare pays around $21.23 for 80100 and $20.11 for 80101 on the clinical lab fee schedule. Kits that screen for 8 drug classes could mean the lab takes in more than $160 and performing individual screening.

    Where as these CPT codes 80154, 82145, 82205, 82570, 83840, 83925, 83986, 83992, 84311, 83805 are not considered as screening rather they are therapeutic drug assay and chemistry procedures which can be billed individually if performed.

    Thanks!
    Manas

  3. #3
    Default
    Thank you for the info! This does help to explain it a little more clearly!!

    Emily

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