Wiki Quantitative drug screens

[JBryant1]

Hi everyone,
Does anyone have experience in billing for the quantitative testing that the laboratory does on urine drug screens? The physicians are ordering a "custom test panel" of 40 different drugs to be run on their patients. I received a report showing 22 units being billed and i guess i just am not understanding where they get 22 out of 40???

Any help is greatly appreciated!!

 

[vazq123]

40 drugs ordered can equal 22 "units" depending on what drugs are being requested.

Examples: Amphetamine, Methamphetamine, MDMA (Ectasy) can be ordered, but can equal only 1 test depending on the methodology of the quantitative confirmation. Or 2 if the MDMA is tested separately.

Or: Buprenorphine/Norbuprenorphine
Fentanyl/Norfentanyl
Meperidine/Normeperidine
Methadone/EDDP
Propoxyphene/Norpropoxyphene
Tapentadol
Tramadol

are all classified as Opiods and can be tested/billed as 1 (again depending on the methodology)


Codeine /Morphine/6-MAM
Oxycodone.Oxymorphone/Noroxycodone
Hydrocodone/Norhydrocodone
Hydromorphone/Norhydromorphone

are all classified as Opiates and can be tested/billed as 1 (again depending on the methodology)

There are others so I would suggest clarifying with your toxicologist on the methods being used for the quantitation.