Addition of Drug Screen Procedure Code, G0434

Due to the increased demand of preliminary drug screens performed in the clinic setting, MO HealthNet has added coverage of procedure code G0434, “Drug screen, other than chromatographic; any number of drug classes, by CLIA waived test or moderate complexity test, per patient encounter”. Coverage is effective for dates of service on or after February 1, 2013. G0434 will be reimbursed at $19.99 per patient encounter regardless of the number of drug classes being tested. Providers may resubmit denied claims with dates of service from February 1, 2013 to present.