Billing Beat

Bundled Services and Supplies and Modifiers 59 and XE, XP, XS, & XU -Drug Testing

January 28, 2016

Beginning with dates of service on or after May 1, 2016 Anthem BCBS is adding to Section 2 of their Bundled Services and Supply reimbursement policy that CPT codes 82570 (assay of urine creatinine) and 83986 (assay ph body fluid nos) are considered incidental to and not eligible for separate reimbursement when reported with presumptive and definitive drug testing CPT codes 80300-80377 and 83992 or HCPCS codes G0477-G0483. Bypass modifiers will not override the edit, therefore the information is also included in our Modifiers 59 and XE, XP, XS, & XU (Distinct Procedural/Separate/Unusual Service) reimbursement policy.

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