Results 1 to 6 of 6

80104/80101 NexScreen Cup

  1. #1
    Location
    Grand Rapids, MI
    Posts
    17
    Question 80104/80101 NexScreen Cup
    Exam Training Packages
    Good afternoon,

    My office is using a new drug screening tool called the NexScreen Cup. The sales rep is telling me it should be billed using G0434 for Medicare (which I agree with) and 80101 for all others (which I don't agree with). The new 80104 code seems more appropriate for this type of screening test.

    Does anyone else have any experience with the NexScreen Cup? What code are you using for commerical carriers?

    Thx,
    KLB, CPC
    "Sucess is not final, failure is not fatal; it is the courage to continue that counts." Winston Churchill

  2. Default
    Our pain management office is using 80101 QW for ppo and work comp.

  3. Default
    Did you ever find any information on this?? I have the same issue here at my office. I need something in writing to show 80104 should be billed

    Jessica M. Giles, CPC
    jessica.gilescpc@gmail.com

  4. Default
    80100 states qualitative, multiple drug classes chromatographic method
    80101 states immunossay enzyme assay, single drug class
    80104 multiple drug class OTHER than chromatographic.

    If you are using a clia waived drug testing cup - it looks like it would fall under 80104, for qualitative analysis by multiplexed screening kit for multiple drugs or drug classes. The 80101 uses instrumentation that involves lab analyzers using immunossay techniques.

  5. Default
    Quote Originally Posted by catrina.thomas View Post
    80100 states qualitative, multiple drug classes chromatographic method
    80101 states immunossay enzyme assay, single drug class
    80104 multiple drug class OTHER than chromatographic.

    If you are using a clia waived drug testing cup - it looks like it would fall under 80104, for qualitative analysis by multiplexed screening kit for multiple drugs or drug classes. The 80101 uses instrumentation that involves lab analyzers using immunossay techniques.
    We use the CLIA waived cups and we were instructed to bill multiple units of 80101. I agree that 80104 better describes the service provided, however, my medical director said that other clinics are billing multiple units of 80101 and it's a "community standard" to bill this way and that's how he would like me to bill it even though I advised him against it.

  6. Default 80104
    If you are using a multiuplex cup use 80104

    if you are using dip sticks that are enzyme assay then code 80101 - qt of hoe ever many you are doing.

Similar Threads

  1. 80101 vs 80104-I work with
    By Kelleh in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 04-12-2012, 08:51 AM
  2. 80101, 80102, 80104
    By Tracey Thompson in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-12-2012, 12:49 PM
  3. 80101 vs 80104-can any one
    By jbcpc in forum Urology
    Replies: 0
    Last Post: 02-28-2012, 02:00 PM
  4. 80101 vs 80104
    By pw18881 in forum Internal Medicine
    Replies: 4
    Last Post: 01-20-2012, 09:57 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.