Drug screening update November 2016

MHCP does not cover drug screening required for employment related issues or when court ordered when it is not medically necessary. When drug screening is considered medically necessary as described in the CMS Local Coverage Determination (LCD) (L36037), report drug screening using HCPCS codes G0477–G0483 for encounters with dates of service on and after November 1, 2016. Presumptive drug tests (codes G0477–G0479) cannot be billed with confirmatory drug tests (codes G0480–G0483). Bill confirmatory drug tests after presumptive drug tests only if the presumptive drug test comes back as positive. Effective November 1, 2016, MHCP will no longer cover CPT codes 80300–80377.