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What drug screen code is used for Humana?

Tina Posted Fri 19th of October, 2012 15:51:29 PM

80101-G0434

SuperCoder Answered Fri 19th of October, 2012 22:09:53 PM

There are now two drug screening codes for reporting use of a multiplexed screening kit that tests for multiple drugs or drug classes. The Centers for Medicare & Medicaid Service published new HCPCS code G0434 for the multiplexed drug screening to differentiate these tests from those that are more complex. CPT followed with new code 80104 for the same purpose. The descriptors for these new codes follow:

• G0434, "Drug screen, other than chromatographic; any number of drug classes, by CLIA waived test or moderate complexity test, per patient encounter (add modifier QW if you have CLIA certificate of waiver)"

• 80104, "Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure"

Use the G code for Medicare claims, and use the CPT code for other claims.

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