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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; 15-21 drug class(es), including metabolite(s) if performed G0482

HCPCS code G0482 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; 15-21 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; 15-21 drug class(es), including metabolite(s) if performed

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Have a question about HCPCS Code G0482 ? Start a discussion here
denials for payment of G0482 due to lack of medical documentation support?
I work w/ an independent lab that performs drug testing. Lately, I'm seeing more denials due to lack of medically documented support for the number of test performed (G0482 = 14 to 21). We're sending ... [ Read More ]
How to get paid on 99000?
[QUOTE="SharonCollachi, post: 468460, member: 654943"] Why is the clinic billing for a lab test that they are not doing? 80307 is a positive/negative test. If the test is positive, then the individu... [ Read More ]
Receive payment on Humana Appeals for G0481/G0482/G0483
I work for an independent lab, was wondering if any other labs are having luck getting paid on appeal for G0481,G0482 and G0483 with Humana? Their drug testing policy states not covered but we have a ... [ Read More ]
How to get paid on 99000?
The urine is collected at the clinic and then the urine specimens are shipped to our lab where testing is done per the doctors orders. Some clinics test the rapid cup (80307) some do not. When the cl... [ Read More ]
How to get paid on 99000?
Why is the clinic billing for a lab test that they are not doing? 80307 is a positive/negative test. If the test is positive, then the individual components and levels are identified (G0481 or G0482... [ 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 ]
Drug test coding
[b]Drug Test Coding...[/b] [QUOTE="tammyboyer, post: 441837, member: 25887"]would anyone be able to give me some insight or tell we where to find more information with coding 80307, G0481, G0482, G04... [ Read More ]
80307-90
[QUOTE="Kelsey07, post: 442220, member: 496425"]If a G0480- G0482 is billed with a 80307 then would mod 91 then need to be added? And if 80307 is billed with an office visit then what modifier needs t... [ Read More ]
80307-90
[b]80307[/b] If a G0480- G0482 is billed with a 80307 then would mod 91 then need to be added? And if 80307 is billed with an office visit then what modifier needs to be used? I'm having issues with ... [ Read More ]
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