New Drug Screening Guidelines

On January 1, 2015, CMS issued new coding guidelines for reporting drug testing procedures and changes to current code policies in an effort to promote best practice standards and collaborative health care. The new HCPCS codes G6030 – G6057 are covered services for specific drugs and drug classes. Prior Authorization must be obtained through the Utilization Management Contractor, APS Healthcare. While code G6058 will require toxicology laboratory certification as the other codes, it is not to be used for substance abuse treatment and monitoring substance abuse treatment interventions; and does not require prior authorization but is subject to retrospective record review. Policy changes to current drug screening codes G0431 and G0434 require new procedures to receive payment related to substance abuse treatment services.