Forum - Questions & Answers
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
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.
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.
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.