Qualitative Drug Screen changes
July 31, 2014Per the AMA, and in accordance with recommended updates from CMS, proper coding of a multiplex drug screening test kit is a single unit of 80104 not multiple units of 80101. This guideline for billing Qualitative Drug Screens was implemented by the State Bureau of TennCare on Oct. 1, 2013. To be consistent with these policies, BlueCross will no longer accept certain 80000 series drug screen CPT® Codes for dates of service July 1, 2014, and after for its commercial line of business. Commercial claims submitted under codes 80100, 80101, and 80104 will no longer be reimbursed. Specifically, CPT® Codes 80100, 80101, and 80104 will be non-covered for more appropriate HCPCS/ CPT® Codes G0431 and/or G0434. CPT® Codes G0431 and/or G0434 will be limited to one test unit per date of service. This policy change does not apply to BlueAdvantageSM.