Wiki Drug screening and confirmation

[JAMETH345]

We perform drug screen on our patients, and then repeat the screening to confirm results. Some of the codes we use are G6042, G6031, G6053. To be paid for both the screening and the confirmation, should we bill, for example, G6042 and G6058, Drug confirmation, each procedure; and G6031 and G6058, with documentation?

Thank you.

 

[Walker22]

We perform drug screen on our patients, and then repeat the screening to confirm results. Some of the codes we use are G6042, G6031, G6053. To be paid for both the screening and the confirmation, should we bill, for example, G6042 and G6058, Drug confirmation, each procedure; and G6031 and G6058, with documentation?

Thank you.

All the codes you mentioned were deleted at the end of 2015. You should be using G0477-G0479 for presumptive testing and G0480-G0483 for definitive testing. For 2015 claims, in order to get paid for the G6058 codes, you must use a different method to screen than you used the first time. For example if you used a POC cup for the first run, you would have to confirm using something like immunoassay in order to bill the confirmation code.