Coding Change for Qualitative Urine Drug Screening by High Complexity Method

Utah Medicaid has opened code G0431 for qualitative urine drug screening by high complexity method (e.g. immunoassay, enzyme assay). The corresponding CPT code 80101 has been closed. Code G0431 reimburses a set amount per patient encounter, regardless of the number of drugs analyzed, that roughly corresponds to payment of five units of 80101. Providers should transition from use of 80101 to use of G0431 beginning July 1, 2014. Note: CPT code 80104 should continue to be used for qualitative urine drug screening by multiplexed screening kits.

Source: https://medicaid.utah.gov/Documents/manuals/pdfs/Medicaid Information Bulletins/Traditional Medicaid Program/2014/July2014-MIB.pdf