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HCPCS Code for Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes G0659

HCPCS code G0659 for Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes as maintained by CMS falls under Other Services .

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Official Long Descriptor

Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes

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Have a question about HCPCS Code G0659 ? Start a discussion here
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 ]
Under coding on Urine Drug screens acceptable?
Hi, You'll need to report exactly what was ordered, but a couple of things to consider - 1. If this payer covers G0659, and the definitive tests you're performing meets that definition, that's the... [ Read More ]
HCPCS: G0481 vs G0659
[b]Query Lab[/b] This is a situation where I would contact the lab and find out what they did. G0481 covers 8-14 drugs and G0659 is per drug. 481 also requires more than one method and 659 does not.... [ Read More ]
HCPCS: G0481 vs G0659
I need help. I am needing to know when G0481 can be billed vs G0659. I have a bill that isn't specific on the kind of test that was done, other than it was definitive. How do I know which one to use... [ Read More ]
Urine drug test reimbursement
[QUOTE="CodingKing, post: 434817, member: 323638"] Those are valid codes. The validity testing is what is bundled into the drug testing codes 80305-80307, G0659 and G0480-G0483. [/QUOTE] When I pull... [ Read More ]
Urine drug test reimbursement
[COLOR=#3e3e3e]I'm pretty sure the NP practice doesn't own equipment that meets criteria for 80306-80307, Only the 80305 is a CLIA waived test. CLIA waiver number must be submitted on the claim. Most... [ Read More ]
Urine drug test reimbursement
The research I made on those codes are as follows (from SelectCoder): "CMS reminded providers that validity testing is bundled into the drug test in a [URL="https://www.cms.gov/Outreach-and-Education... [ Read More ]
BCBS OK UAs G0659
[b]You're not alone[/b] We have had the same issue. They will pay on our UDS codes but it is hit or miss. We too have to submit records for every single claim that has the UDS on there. Although we d... [ Read More ]
BCBS Oklahoma UAs G0659
Are we the only clinic having issues getting paid for UAs from BCBS Oklahoma? We literally have not received payment for any this year, the only thing our provider rep has stated is that we need to su... [ Read More ]
BCBS OK UAs G0659
Are we the only clinic having issues getting paid for UAs from BCBS Oklahoma? We literally have not received payment for any this year, the only thing our provider rep has stated is that we need to su... [ Read More ]
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