Test Menu With 2018 Medicare Fee Schedule Click …

1 Test Menu With 2020 Medicare Fee Schedule Page 1 of 23 Click the link below to see the respective 2020 Medicare Rates 008010016 5U 0016 7U 0016 5B 00167B00169 or 00169i 0016 8U 0018 8OB 0019 9U 0015 9U 00197U o r 00197iU A La Carte Tests0018 9U 0019 5U 2040000021 00802056020560305601 Test Menu With 2020 Medicare Fee Schedule Page 2 of 23 00159U Test CPT Code 2020 Medicare Rate Definitive Testing Alcohol Biomarkers (Ethyl Glucuronide, Ethyl Sulfate) G0481 $ Amphetamines -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Heroin Methadone Methylphenidate MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone Tramadol *Positive methamphetamine results will reflex to methamphetamine D/L Isomer testing for Menu With 2020 Medicare Fee Schedule Page 3 of 23 00165B Test CPT Code 2020 Medicare Rate Presumptive Testing* Amphetamines 80307 $ Barbiturates Cannabinoids (Marijuana) Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Meperidine (Opioids & Opiate Analogs CPT Drug Class) Methadone Methamphetamine Definitive Testing** Benzodiazepines G0480 $ Opiates Oxycodone Definitive Testing** Tiers 1-7 Drug Class(es)G0480 $ 8-14 Drug ClassesG0481 $ 15-21 Drug ClassesG0482 $ 22+ Drug Classes G0483 $ Amphetamines Barbiturates Benzodiazepines Cannabinoids (Marijuana)

2 Carisoprodol/Meprobamate Cocaine Fentanyl Meperidine Methadone Opiates Oxycodone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) *Presumptive testing results will reflex to definitive testing via mass spectrometry. Only onepresumptive testing code may be billed per day. This code will not be billed if presumptive testing isalready performed for same date of Menu With 2020 Medicare Fee Schedule Page 4 of 23 **Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing. 00165U Test CPT Code 2020 Medicare Rate Presumptive Testing* Amphetamines 80307 $ Barbiturates Benzodiazepines Cannabinoids (Marijuana) Cocaine Heroin Methadone Metabolite (EDDP) Methadone Opiates Oxycodone Definitive Testing** Tiers 1-7 Drug Class(es)G0480 $ 8-14 Drug ClassesG0481 $ 15-21 Drug ClassesG0482 $ 22+ Drug Classes G0483 $ Amphetamines Barbiturates Benzodiazepines Cannabinoids (Marijuana) Cocaine Heroin Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone *Presumptive testing results will reflex to definitive testing via mass spectrometry.

3 Only onepresumptive testing code may be billed per day. This code will not be billed if presumptive testing isalready performed for same date of service.**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing. Test Menu With 2020 Medicare Fee Schedule Page 5 of 23 00167B Test CPT Code 2020 Medicare Rate Presumptive Testing* Amphetamines 80307 $ Barbiturates Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Meperidine (Opioids & Opiate Analogs CPT Drug Class) Methadone Methamphetamine Definitive Testing** Benzodiazepines G0480 $ Opiates Oxycodone Definitive Testing** Tiers 1-7 Drug Class(es)G0480 $ 8-14 Drug ClassesG0481 $ 15-21 Drug ClassesG0482 $ 22+ Drug Classes G0483 $ Amphetamines Barbiturates Benzodiazepines Carisoprodol/Meprobamate Cocaine Fentanyl Meperidine Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class)

4 Opiates Oxycodone *Presumptive testing results will reflex to definitive testing via mass spectrometry. Only onepresumptive testing code may be billed per day. This code will not be billed if presumptive testing isalready performed for same date of service.**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing. Test Menu With 2020 Medicare Fee Schedule Page 6 of 23 00167U Test CPT Code 2020 Medicare Rate Presumptive Testing* Amphetamines 80307 $ Barbiturates Benzodiazepines Cocaine Heroin Methadone Metabolite (EDDP) Methadone Opiates Oxycodone Definitive Testing** Tiers 1-7 Drug Class(es)G0480 $ 8-14 Drug ClassesG0481 $ 15-21 Drug ClassesG0482 $ 22+ Drug Classes G0483 $ Amphetamines Barbiturates Benzodiazepines Cocaine Heroin Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone *Presumptive testing results will reflex to definitive testing via mass spectrometry.

5 Only onepresumptive testing code may be billed per day. This code will not be billed if presumptive testing isalready performed for same date of service.**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing. Test Menu With 2020 Medicare Fee Schedule Page 7 of 23 00168U Test CPT Code 2020 Medicare Rate Definitive Testing Benzodiazepines G0481 $ Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Fentanyl Gabapentin Heroin Meperidine (Opioids & Opiate Analogs CPT Drug Class) Methadone Opiates Oxycodone Pregabalin Tramadol Test Menu With 2020 Medicare Fee Schedule Page 8 of 23 00169 or 00169i Test CPT Code 2020 Medicare Rate Definitive Testing Amphetamines G0481 $ -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Heroin Methadone MDA and MDMA (Methylenedioxyamphetamines CPT Drug Class)

6 Opiates Oxycodone Tramadol *Positive methamphetamine results will reflex to methamphetamine D/L Isomer testing for Menu With 2020 Medicare Fee Schedule Page 9 of 23 001880B Test CPT Code 2020 Medicare Rate Definitive Testing Alcohol Biomarkers (Ethyl Glucuronide, Ethyl Sulfate) G0482 $ Amphetamines -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Cotinine (Nicotine) Fentanyl Heroin Meperidine (Opioids & Opiate Analogs CPT Drug Class) Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone Tramadol *Positive methamphetamine results will reflex to methamphetamine D/L Isomer Menu With 2020 Medicare Fee Schedule Page 10 of 23 00189U Test CPT Code 2020 Medicare Rate Definitive Testing Amphetamines G0481 $ -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Heroin MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Meperidine (Opioids & Opiate Analogs CPT Drug Class)

7 Methadone Opiates Oxycodone *Positive methamphetamine results will reflex to methamphetamine D/L Isomer Menu With 2020 Medicare Fee Schedule Page 11 of 23 00195U Test CPT Code 2020 Medicare Rate Definitive Testing Benzodiazepines G0481 $ Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Fentanyl Heroin Methadone Meperidine (Opioids & Opiate Analogs CPT Drug Class) Opiates Oxycodone Tramadol Test Menu With 2020 Medicare Fee Schedule Page 12 of 23 00197iU or 00197U Test CPT Code 2020 Medicare Rate Definitive Testing Amphetamines G0482 $ -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Fentanyl Gabapentin Heroin Meperidine (Opioids & Opiate Analogs CPT Drug Class) Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone Pregabalin Tramadol *Positive methamphetamine results will reflex to methamphetamine D/L Isomer testing for Menu With 2020 Medicare Fee Schedule Page 13 of 23 00199U Test CPT Code 2020 Medicare Rate Definitive Testing Alcohol Biomarkers (Ethyl Glucuronide, Ethyl Sulfate) G0482 $ Amphetamines -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class) Cocaine Cotinine (Nicotine) Fentanyl Gabapentin Heroin Meperidine (Opioids & Opiate Analogs CPT Drug Class)

8 Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone Pregabalin Tapentadol Tramadol *Positive methamphetamine results will reflex to methamphetamine D/L Isomer Menu With 2020 Medicare Fee Schedule Page 14 of 23 00021 Test CPT Code 2020 Medicare Rate Definitive Testing* Quinine 84228 $ Column Chromatography, non-drug 82542 $ Antidepressants, not otherwise specified G0481 $ Antidepressants, serotonergic class Antidepressants, Tricyclic and other cyclicals Antiepileptics, not otherwise specified Antipsychotics, not otherwise specified Barbiturates Methadone Alkaloids, not otherwise specified Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified Definitive Testing** Tiers 1-7 Drug Class(es)G0480 $ 8-14 Drug ClassesG0481 $ 15-21 Drug ClassesG0482 $ 22+ Drug Classes G0483 $ *Definitive testing charges will be determined based upon total number of definitive tests one CPT/G code will be utilized for definitive testing.

9 If test #00021 (Drug-Drug Interaction) is requested with additional and separate definitive drug testing the definitive testing charges will be determined based upon total number of definitive tests performed (drug classes are only counted once). Test Menu With 2020 Medicare Fee Schedule Page 15 of 23 20400 KardiAssure Test CPT Code 2020 Medicare Rate Definitive Testing Column Chromatography, non-drug analyte not elsewhere specified G0480 $ Analgesics, non-opioid, 1-2 Aspirin Drug(s) or substances(s), definitive, qualitative or quantitative, not otherwise specified Test Menu With 2020 Medicare Fee Schedule Page 16 of 23 00801 Test CPT Code 2020 Medicare Rate Definitive Testing Alcohol Biomarkers (Ethyl Glucuronide, Ethyl Sulfate) G0482 $ Amphetamines -Methamphetamine D/L Isomer*Benzodiazepines Buprenorphine Bupropion (Antidepressants, not otherwise specified) Carisoprodol/Meprobamate (Skeletal Muscle Relaxants CPT Drug Class)

10 Cocaine Fentanyl Heroin Methadone Methylphenidate Naloxone (Opioids & Opiate Analogs) Naltrexone (Opioids & Opiate Analogs) MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone *Positive methamphetamine results will reflex to methamphetamine D/L Isomer Menu With 2020 Medicare Fee Schedule Page 17 of 23 00802 Test CPT Code 2020 Medicare Rate Definitive Testing* Antidepressants, not otherwise specified G0481 $ Antidepressants, serotonergic class Antidepressants, Tricyclic and other cyclicals Antiepileptics, not otherwise specified Antipsychotics, not otherwise specified Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified Opiates Oxycodone Test Menu With 2020 Medicare Fee Schedule Page 18 of 23 05601 Test CPT Code 2020 Medicare Rate Genetic Testing Gene CYP2C9 81227 $ Test Menu With 2020 Medicare Fee Schedule Page 19 of 23 05602 Test CPT Code 2020 Medicare Rate Genetic Testing Gene CYP2C19 81225 $ Test Menu With 2020 Medicare Fee Schedule Page 20 of 23 05603 Test CPT Code 2020 Medicare Rate Genetic Testing Gene CYP2D6 81226 $ Test Menu With 2020 Medicare Fee Schedule Page 21 of 23 A La Carte Testing Analysis Code Test CPT Code 2020 Medicare Rate Presumptive Testing* 04420 or 04420OF Barbiturates 80307 $ 04440 or 04440OF Cannabinoids 80307 $ 00250 Ethanol 80307 $ 00156 Synthetic Cannabinoids 80307 $ 00163 Synthetic Cathinones 80307 $ Def