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UDS (urine drug screening)

Maggie Posted Sun 25th of August, 2013 10:32:19 AM

In a pain clinic how should I bill for UDS (non-chromatographic) I am using multiple drug testing bottles. G0434 and 80104. Are these appropriate codes.

Maggie Posted Sun 25th of August, 2013 10:34:00 AM

" G0434 and 80104" These are urine drug screening codes.

SuperCoder Answered Tue 27th of August, 2013 00:37:09 AM

We are working on this.

SuperCoder Answered Tue 27th of August, 2013 00:37:09 AM
With Ellen for Review.
SuperCoder Answered Wed 04th of September, 2013 14:19:26 PM

It appears from your limited description of the method you’re using that either of the codes you mention would be appropriate, depending on the payer and your lab’s CLIA licensure:
• Submit 80104 (Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure) for non-Medicare payers for a drug screen testing using a cup, cassette or dipstick that tests for multiple drugs/drug classes with one test kit, i.e. a cup that tests for 9 different drug classes. Bill just one unit.
• Medicare and some commercial payers require G0434 (Drug screen, other than chromatographic; any number of drug classes, by CLIA waived test or moderate complexity test, per patient encounter) for providers with either moderate complexity or CLIA-waived certified labs that perform drug screen tests. If the lab is moderate complexity certified and the test method is moderate complexity, the provider would report G0434 with 1 unit of service. If the lab is CLIA waived and the test method is also considered to be CLIA waived, report G0434-QW (CLIA waived test) with 1 unit of service.
There are other drug test codes for more complex lab tests, but it doesn’t appear from your description that you’re performing those in a pain clinic setting.

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