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Medication Monitoring

  1. Default Medication Monitoring
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    I am still confused as to what CPT code should be used. I work at a Sr clinic & the doctors was using 80101 which is not payable via Medicare. What the doctors are looking for is the controlled substance in the patient's system that was prescribed to make sure there isn't abuse, etc. I look forward to a reply. Thank you

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    Quote Originally Posted by talfred View Post
    I am still confused as to what CPT code should be used. I work at a Sr clinic & the doctors was using 80101 which is not payable via Medicare. What the doctors are looking for is the controlled substance in the patient's system that was prescribed to make sure there isn't abuse, etc. I look forward to a reply. Thank you
    Take a look at G0431 and G0434, depending on which type of test your office is doing; from what I understand, Medicare uses these instead of 80101, and we have used them previously. We actually quit doing the drug screen tests in-office last year, partially due to the problems we had collecting on the tests, and low allowables didn't really make it worth it for the equipment we had.

    Hope this helps!
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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