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Reimbursement Information

The CPT codes provided below are based on AMA coding guidelines and are for informational purposes only. Selection of appropriate codes is the sole responsibility of the billing party. Providers should check with their contracted payers for appropriate codes prior to submitting claims.

It is our recommendation based on the currently available information that the appropriate CPT code for on-site drugs of abuse test kits is;

80101QW* Drug Screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay)

  • "QW" modifier is added to report use of CLIA-waived test system(s) for Medicare/Medicaid claims.
  • 2009 National Limit Amount: $20.11

    *For a complete listing of state by state fee schedules visit www.cms.hhs.gov.


     
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