Forum - Questions & Answers

Aug 1st, 2016 - betsykern 2 

Medicare non payment for drug screens

The physician I work for requires his Medicare patients who take pain medication & some other drugs to have yearly drug screens. Medicare will not pay for this. Is there a diagnosis code I can use to get Medicare to pay for this test? Obviously, patients are not happy to get a bill for around $250 for a drug screen. Thank you.

Aug 1st, 2016 - rphelps 615  1 

re: Medicare non payment for drug screens

Are you billing HCPCS G0477

Aug 2nd, 2016 - betsykern 2 

re: Medicare non payment for drug screens

Multiple HCPCS codes have been used such as G0444 & G0480 and they are rejected. The diagnosis used is G89.4 Chronic Pain Syndrome. G0477 hasn't been used yet.

Aug 3rd, 2016 - rphelps 615  1 

re: Medicare non payment for drug screens

I get paid using G0477 and V58.69-Z79.899

Aug 3rd, 2016 - betsykern 2 

re: Medicare non payment for drug screens

Thanks a lot! I'll try that one.



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