New clinical guideline requires medical necessity review for Drug Testing or Screening

The following new clinical guideline will require medical necessity review, effective May 7, 2014. Although a predetermination is not required, BCBSKY encourage providers to obtain one prior to performing any of the procedure:

Name

Drug Testing or Screening in the Context of Substance Abuse and Chronic Pain

Added to Clinical Guideline

CPT codes 80100, 80101, 80104, 80102, 80103, 80154, 80184, 82055, 82101, 82145, 82205, 82491, 82492, 82520, 82541, 82542, 82543, 82544, 82646, 82649, 82654, 82742, 83805, 83840, 83925, 83992, 84022 and HCPCS codes G0431, G0434