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HCPCS Code for Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed G0480

HCPCS code G0480 for Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed as maintained by CMS falls under Other Services .

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Official Long Descriptor

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed

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lab CPT code
Hello there, There are three codes for opioids and opiate analogs (80362-80364). Coding is based on the number of analyte tests ordered. Review the definitive drug testing section in your CPT manual f... [ Read More ]
80307 & G0483 Frequency Denial
to my knowledge there is an NCCI edit for those codes, we bill 80307 Presumptive & G0480 definitive urine drug screens. To my knowledge G0483 is a combination of presumptive and definitive testing and... [ Read More ]
Drug Classifications for G0480-G0483
Lab is currently adding a test for normorphine, a metabolite of morphine. Since normorphine is not listed explicitly in the opioid drug class, should it fall in the category "other drugs not classifie... [ Read More ]
Pain Management Drug Screening
Hello! I am a pain management coder and have a question about presumptive drug screening. We collect urine samples from our patients for drug screening/monitoring and then we send them to a local lab ... [ Read More ]
80307-90
When billing a G0480 and a 81001 I am receiving an edit asking for a modifier. Would 91 be acceptable? they are not repeat labs but are bumping against each other.... [ Read More ]
Drug Class- Guidelines definitive drug class drug classes g0480 g0483
I am looking for resources or other CPC coders who are familiar with Definitive Drug Testing. I am specifically looking for guidelines that will help me distinguish which drugs are under which Class a... [ Read More ]
Drug Classes - Guidelines? definitive drug testing drug classes g0480 g0483
I am looking for resources or other CPC coders who are familiar with Definitive Drug Testing. I am specifically looking for guidelines that will help me distinguish which drugs are under which Class a... [ Read More ]
Definitive Drug Testing: G0480 to G0483
I am looking for resources or other CPC coders who are familiar with Definitive Drug Testing. I am specifically looking for guidelines that will help me distinguish which drugs are under which Class ... [ Read More ]
Drug Testing for Oral Fluid instead of Urine
The CPT coding definitions for definitive drug testing include urine, oral, blood, CSF. You should not use any of the PLA codes (011U) that are specific to a particular laboratories test method and r... [ Read More ]
Under coding on Urine Drug screens acceptable?
Suppose G0480 is the only code from G0480-G0483 approved for reimbursement/on the fee schedule for a payer that makes up a considerable part of your payer mix. Suppose the provider is going to prescri... [ Read More ]
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