Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

G0431 versus G0434

Pam Posted Mon 09th of March, 2015 11:57:33 AM

We are a hospital performing qualitative drug testing on an analyzer. Should we be billing G0431 or G0434?

SuperCoder Answered Tue 10th of March, 2015 04:38:33 AM

Hi,

G0431 is used to report more complex testing methods, such as multichannel chemistry analyzers,where a more complex instrumented device is required to perform some or all of the screening tests for the patient. G0431 may only be reported if the drug screen test(s) is classified as CLIA high complexity test(s) with the following restrictions:

G0431 may only be reported when tests are performed using instrumented systems (i.e.durable systems capable of withstanding repeated use).

CLIA waived tests and comparable non-waived tests may not be reported under test code G0431; they must be reported under test code G0434.

CLIA moderate complexity tests should be reported under test code G0434.

Thanks.

Related Topics