Qualitative Drug Screens (policy updated)

Consistent with guidelines from CMS and their Omnibus Reimbursement Policy (R24), all claims for qualitative drug screens that are submitted on a UB04/CMS 1500 form will have to be billed using either HCPCS codes G0431 or G0434. These G codes will be eligible for one unit of reimbursement per date of service. Billing any other codes for these services, including CPT® codes 80300, 80301, 80302, 80303, or 80304, will result in a denial and will not be reimbursed.

Source: https://cignaforhcp.cigna.com/web/secure/chcp/resources/!ut/p/b1/jZDLjoJAEEU_qao7DTTLBoanPBwQ6d4QJhoDQTEZg6NfP-3ErTiV1KKSc3JTFxRISmyLGYZJoAF16ub-0F366dSNj1uZbeHWG5LYDHN:YEREaxiuYHIH4LUAL4YgX9-wA0aOIwEPImY9vM4EbVPEenTfwng:IXAt74W2iQteXAz-nt0qzu7lwN9_KWeVJvRNMhJd9ZVezqz40jPFdwaw0xqMM4fel6tqCWH8QnsFBQFk7HPUiNWW0ecJOEJYaIto-RXToFjVLN6Ufnfn-FCqQHRzX6_sqIw-uP-AX6in8p/dl4/d5/L0lDU0lKSmdwcGlRb0tVUm0vb0dvZ0FFSVFoakVDVUlnQU1BSXlGQU1od1VoUzRKUkVBSkNHaUlBU0FBISEvNEczYUQyZ2p2eWhEVXdwTWhSTlVJZyEhL1o3X09HODYxSFMwSDAwOUYwSTlTQlAySU0wMDAxL3VlVDA4NTU2MTAwMjkvMjkzMjEyMzQ4NzEyL3NpdGVzJTBjaGNwJTByZXNvdXJjZUxpYnJhcnklMGNvdmVyYWdlUG9saWNpZXMlMHBvbGljeVVwZGF0ZXMlMGNvdmVyYWdlUG9saWNpZXNMYXRlc3RVcGRhdGVzTWF5MjAxNS5wYWdl/