Toxicology CPT Code Changes for 2016 - Quest …

1 Beginning January 1, 2016, CMS deleted all 2015 drug testing G codes and will continue to not recognize the AMA CPT codes for drug testing. CMS created three G codes for presumptive testing and four G codes for definitive testing. 1. Delete the following G-codes: a. G0431, G0434 b. HCPCS codes G6030 through G60582. Continue to not recognize the AMA CPT codes 80300 803773. For presumptive testing, create three G codes. Only one of the three presumptive G codes may be billed per For definitive testing, create four G codes. Only one of the four definitive G codes may be billed per Drug TestingCode: G0477 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of : G0478 Drug tests(s), presumptive, any number of drug classes.

2 Any number of devices or procedures, (eg, immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of : G0479 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (eg, immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service. Definitive Drug TestingCode: G0480 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)).

3 Qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if : G0481 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 8-14 drug class(es), including metabolite(s) if : G0482 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)).

4 Qualitative or quantitative, all sources, includes specimen validity testing, per day, 15-21 drug class(es), including metabolite(s) if performed.) code : G0483 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 22 or more drug class(es), including metabolite(s) if CPT code Changes for 2016Te s t CodeDOS Test Name2016 CPT Coding194746-Monoacetylmorphine, GC/MS, Urine80356 (HCPCS: G0480)148596-Monoacetylmorphine, Qualitative, Urine80356 (HCPCS: G0480)202 Acetaldehyde, Blood80320 (HCPCS: G0480)201 Acetaminophen80329 (HCPCS: G0480)34847 Acetaminophen Confirmation80329 (HCPCS: G0480)3198 Acetaminophen Screen80302 (HCPCS: G0479)35385 Acetonitrile Exposure Profile, Blood80320, 82600 (HCPCS.

5 G0480)91830 Acetyl Fentanyl, Qualitative, Blood80354 (HCPCS: G0480)91831 Acetyl Fentanyl, Qualitative, Serum80354 (HCPCS: G0480)91829 Acetyl Fentanyl, Qualitative, Urine80354 (HCPCS: G0480)90418 Alcohol Metabolites with confirmation , Urine80321 (HCPCS: G0480)92141 Alcohol Metabolites, Quantitative, Urine80321 (HCPCS: G0480)443 Alcohol, Ethyl, Blood80320 (HCPCS: G0480)8879 Alcohol, Ethyl, Blood80320 (HCPCS: G0480)19964 Alcohol, Ethyl, Enzymatic80320 (HCPCS: G0480)14920 Alcohol, Ethyl, Qualitative, Urine80301 (HCPCS: G0479)2128 Alcohol, Ethyl, Qualitative, with confirmation , Urine80301 (HCPCS: G0479)19938 Alcohol, Ethyl, Quantitative, Random Urine80320 (HCPCS: G0480)19450 Alcohol, Ethyl, Urine Quantitative80320 (HCPCS: G0480)15802 Alcohol, Ethyl, Qualitative, without confirmation , Urine80301 (HCPCS: G0479)21106 Alfentanil Screen, Urine80304 (HCPCS: G0479)4741 Alprazolam (Xanax)80346 (HCPCS: G0480) Toxicology CPT code Changes for 2016Te s t CodeDOS Test Name2016 CPT Coding37910 Alprazolam and Metabolite Confirmation80346 (HCPCS: G0480)36550 Alprazolam and Metabolite Screen 80301 (HCPCS.

6 G0479)30958 Alprazolam, Quantitative, Urine80346 (HCPCS: G0480)423 Amitriptyline80335 (HCPCS: G0480)244 Amobarbital80345 (HCPCS: G0480)34525 Amoxapine and Metabolite80335 (HCPCS: G0480)14744 Amphetamine confirmation , GC/MS, Blood80359, 80324 (HCPCS: G0480)14742 Amphetamine confirmation , GC/MS, Urine80359, 80324 (HCPCS: G0480)14740 Amphetamine confirmation , GC/MS, Serum80359, 80324 (HCPCS: G0480)14743 Amphetamine Screen with confirmation , Blood80301 (HCPCS: G0479)14739 Amphetamine Screen with confirmation , Serum80301 (HCPCS: G0479)14741 Amphetamine Screen, with confirmation , Urine80301 (HCPCS: G0479)6028 Amphetamine, confirmation , GC/MS, Serum80324 (HCPCS: G0480)38089 Amphetamines80324 (HCPCS: G0480)14697 Amphetamines (1000 ng/mL Screen), without confirmation , Urine80301 (HCPCS: G0479)30464 Amphetamines (1000 ng/mL Screen), with confirmation , Urine80301 (HCPCS: G0479)70036 Amphetamines (200), Qualitative confirmation , GC/MS, Urine80324, 80359 (HCPCS: G0480)3035 Amphetamines (D/L Ratio), Blood80374 (HCPCS: G0480)3038 Amphetamines (D/L Ratio), Serum/Plasma80374 (HCPCS.

7 G0480)3053 Amphetamines (D/L Ratio), Urine80374 (HCPCS: G0480)14829 Amphetamines confirmation , Fluid80326 (HCPCS: G0480)34517 Amphetamines confirmation , GC/MS, Meconium80324 (HCPCS: G0480) Toxicology CPT code Changes for 2016 Toxicology CPT code Changes for 2016Te s t CodeDOS Test Name2016 CPT Coding3456 Amphetamines Panel, Blood80326, 80359 (HCPCS: G0480)34401 Amphetamines Panel, Serum/Plasma80326, 80359 (HCPCS: G0480)7170 Amphetamines Screen with confirmation , Urine80301 (HCPCS: G0479)241 Amphetamines, Quantitative, GC/MS, Urine80324 (HCPCS: G0480)14924 Amphetamines-1000 Clinical Screen, with confirmation , Urine80301 (HCPCS: G0479)30708 Antidepressant Panel Urine/Gastric, Qualitative80337 (HCPCS: G0480)30971 Antidepressant Panel, Blood80337, 80338, 80332 (HCPCS: G0480)30970 Antidepressant Panel, Urine80337, 80338, 80332 (HCPCS: G0480)26515 Antidepressants Panel 1, Serum/Plasma80337, 80338 (HCPCS: G0480)30972 Antidepressants Panel, Serum/Plasma80337, 80338, 80332 (HCPCS: G0480)17454 Barbiturate Presumptive Screen80301 (HCPCS: G0479)14921 Barbiturates Clinical Screen, with confirmation , Urine80301 (HCPCS.

8 G0479)30465 Barbiturates Clinical Screen, with confirmation , Urine80301 (HCPCS: G0479)14830 Barbiturates confirmation , Fluids80345 (HCPCS: G0480)35258 Barbiturates confirmation , Serum/Plasma80345 (HCPCS: G0480)35260 Barbiturates confirmation , Stool80345 (HCPCS: G0480)18973 Barbiturates confirmation , Urine80345 (HCPCS: G0480)3473 Barbiturates Panel, Blood80345 (HCPCS: G0480)91376 Barbiturates Panel, Urine80345 (HCPCS: G0480)7171 Barbiturates Screen, with confirmation , Urine80301 (HCPCS: G0479)8416 Barbiturates, GC/MS, Urine80345 (HCPCS: G0480)14558 Barbiturates, Qualitative, GC/MS, Urine80345 (HCPCS: G0480) Toxicology CPT code Changes for 2016Te s t CodeDOS Test Name2016 CPT Coding7377 Barbiturates, Quantitative GC/MS confirmation , Serum80345 (HCPCS: G0480)8568 Barbiturates, Urine80345 (HCPCS: G0480)38574 Barbiturates, without confirmation , Urine80301 (HCPCS: G0479)91293 Bath Salts Panel, Blood80371 (HCPCS: G0480)91294 Bath Salts Panel, Serum/Plasma80371 (HCPCS: G0480)14967 Benzodiazepine, GC/MS, Urine80346 (HCPCS: G0480)30466 Benzodiazepines Clinical Screen, with confirmation , Urine80301 (HCPCS.

9 G0479)34802 Benzodiazepines confirmation Qualitative, Meconium80347 (HCPCS: G0480)35252 Benzodiazepines confirmation , Serum/Plasma80347 (HCPCS: G0480)23095 Benzodiazepines Panel, Blood80347 (HCPCS: G0480)7172 Benzodiazepines Screen with confirmation , Urine80301 (HCPCS: G0479)37576 Benzodiazepines Screen, Serum/Plasma80301 (HCPCS: G0479