Forum - Questions & Answers

Jun 15th, 2009 - codes

CPT code for urine drug test

Our facility does the urine drug kit and sends it to a lab. What CPT code/modifier do we bill to bc, Medicare and ppo ins.
thanks

Jun 15th, 2009 -

Ask your lab

80101 is the general CPT for screening and then it depends how many drugs you test. if you do confirmations then there are more specific codes.

Jul 29th, 2009 - Pravin 8 

Urine Drug Test

CPT 80101 is a CLIA waived test so should be billed with mod. QW. this test is for total 15 tests, you can bill no. of tests as no of units. Provider must be CLIA waiver certified.

Jul 29th, 2009 -

Wait a sec!

You cannot bill the test to Medicare if you do not do it! Only the lab actually performing the test can bill. For PPO you may be able to do pass-thru billing but check your contract.



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association