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Mercy Posted Thu 20th of April, 2017 13:28:18 PM
Physician performed urine test for pain mgt using the Thermo Scientific Indiko Plus Analyzer. The lab result has the qualitative and quantitative LC/MS/MS)results. The test analytes are: alcohol, amphetamine, anticonvulsant, antidepressants,barbiturates, benzodiazepines, illicits, illicits (bath salts), illicits (synthetic canbinoids), muscle relaxants, opioids (natural), opioods (semisynthetic), opioids (synthetic), methadone, non-opioid analgesics and non-benzodiazepine hypnotics. Physician wants to bill the following codes: 80171, 80152, 80182, 80154, 83992, 83805, 82646, 82649, 83840, 82520, 82145, 82101, 83925 x 8 units, 82542 x 28 units, 83789, 8415, 82570, 80101 x 12 and 80102 x 4. Are the codes billed appropriate? Can the analyzer be considered as using "rapid screening test method such as a stick/dip stick, cup or similar device? Your assistance is greatly appreciated. Thank you.
SuperCoder Answered Fri 21st of April, 2017 06:04:21 AM


As per review most of the above mentioined codes are deleted and invalid codes. In your provided above documentation 1 CPT code is incomplete i.e. 8415. Please provide complete code for appropriate answer.

Mercy Posted Fri 21st of April, 2017 13:34:04 PM
The CPT code is 84315. I know some codes have been deleted but this is a no-fault claim. Thank you.
SuperCoder Answered Mon 24th of April, 2017 09:57:02 AM

Appropriate CPT for above mention test are as follows:

Alcohol - 80320

Amphetamine - 80324

Anticonvulsant - 80339

Antidepressants - 80338

Barbiturates - 80345

Benzodiazepines - 80346

illicits (bath salts) - 80371

illicits (synthetic canbinoids) - 80350

Muscle relaxants - 80369

Opioids - 80363

Methadone - 80358

Non-opioid analgesics - 80329

Non-benzodiazepine hypnotics - 80368


Mercy Posted Tue 25th of April, 2017 15:05:30 PM
If codes 80101 and 80104 have not been deleted can multiple units of 80101 be billed with 80104 using the Indiko Plus Analyzer and the result does not have the LC/MS/; for example: DR1Amp result = 97 dilution 0 Response 0.234 same type of result for the other drugs What I really need is billing using the old code 80101 and 80104; when is billing multiple units of 80101 applicable and when is 80104 appropriate. Thank you.
SuperCoder Answered Wed 26th of April, 2017 08:34:58 AM


You cannot bill multiple units of 80101 as per coding guidelines MUE for 80101 is only 1. 80101 was used for Drug screen, qualitative; single drug class method (eg, immunoassay, enzyme assay), each drug class. Whereas 80104 was used for Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure.

Mercy Posted Wed 26th of April, 2017 18:45:45 PM
SuperCoder Answered Wed 26th of April, 2017 23:13:03 PM

Happy to help!

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