Billing Beat

Drug Screening Services

September 27, 2012

BCBSGA has a new reimbursement policy, Drug Screening Services, regarding the reporting of Qualitative Drug Screen Testing, which will be effective with claims processed on or after December 8, 2012. They have adopted the CMS guidelines and will no longer reimburse CPT© codes 80100, 80101, and 80104. Qualitative drug screening will now only be reimbursable using codes G0431 and G0434. Both codes G0431 and G0434 will be eligible for 1 unit of reimbursement per date of service. CPT© codes 80100, 80101, and 80104 will also be added to their Bundled Services and Supplies reimbursement policy.

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