HCPCS Drug Testing Codes Effective January 1, 2016 (update Dec. 10, 2015)

CMS does not recognize the CPT codes 80300-80377 and 83992 for definitive and/or presumptive drug testing and had assigned Status Code “I”- Not valid for Medicare purposes – to those codes. CMS announced that effective January 1, 2016, it will use HCPCS’ new “G” codes for “per day” presumptive (G0477-G0479) and definitive (G0480-G0483) drug testing. Anthem will accept these new “G” codes for presumptive and definitive drug testing beginning with dates of service on or after January 1, 2016.  In addition, based on these new “G” codes, beginning with dates of service on or after March 15, 2016, definitive and presumptive drug testing CPT codes 80300-80377 and 83992 will no longer be eligible for separate reimbursement and will be included in their Bundled Services and Supplies reimbursement policy.