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Mercy Posted 1 Year(s) ago
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 Posted 1 Year(s) ago


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 1 Year(s) ago
The CPT code is 84315. I know some codes have been deleted but this is a no-fault claim. Thank you.
SuperCoder Posted 1 Year(s) ago

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 1 Year(s) ago
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 Posted 1 Year(s) ago


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 1 Year(s) ago
SuperCoder Posted 1 Year(s) ago

Happy to help!

Posted by Mercy, 1 Year(s). There are 8 posts. The latest reply is from SuperCoder.

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