State mandated benefit limits: Urine Drug Screens

The 2014 Budget has been passed by the Tennessee General Assembly. Therefore, the following changes must be implemented by BlueCare Tennessee effective Oct. 1, 2013. Urine Drug Screens will be limited for claims coded with HCPC Code G0434 with a limit of twelve (12) per calendar year and HCPC Code G0431 with a limit of four (4) per calendar year. These limits will not apply to the emergency department. Urine drug screens billed under the 8xxxx series will not be covered. Claims must be billed with the appropriate G code.