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.
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.
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
THANK YOU VERY MUCH!
SuperCoder Answered Wed 26th of April, 2017 23:13:03 PM