Toxicology CPT Code Changes for 2017

1 Toxicology CPT code Changes for 2017. Beginning January 1, 2017, there are new presumptive (screen) Toxicology CPT codes that will replace the existing AMA CPT and CMS HCPCS codes for presumptive drug testing. All AMA and CMS definitive drug testing codes remain unchanged at this time. The following AMA CPT codes for presumptive drug testing are deleted: 80300. 80301. 80302. 80303. 80304. In addition, the following AMA CPT codes for specimen validity testing are deleted: 84311. 83986. 82570. CMS will also recognize the new AMA codes and delete the following G codes: G0477. G0478. G0479. Presumptive drug testing CPT code : 80305 Drug test(s), presumptive, any number of drug classes, qualitative; any number of devices or procedures, ( , immunoassay) capable of being read by direct optical observation only ( , dipstick, cups, cards, cartridges) includes sample validation when performed, per date of service (maps to 80300 or G0477).

2 CPT code : 80306 Drug test(s), presumptive, any number of drug classes, qualitative; any number of devices or procedures, ( , immunoassay) read by instrumented assisted direct optical observation ( , dipstick, cups, cards, cartridges) includes sample validation when performed, per date of service (maps to 80300 or G0478). CPT code : 80307 Drug test(s), presumptive, any number of drug classes, qualitative; any number of devices or procedures, by instrument chemistry and analyzers ( , utilizing immunoassay [EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography ( , GC, HPLC), and mass spectrometry either with or without chromatography, (DAT, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service (maps to 80301, 80302, 80303, 80304 and G0479).

3 Most of our presumptive drug tests at Quest Diagnostics will fit the CPT code 80307. Toxicology test codes On the following pages, you will find the most commonly ordered presumptive drug tests performed at Quest Diagnostics and the associated CPT codes for 2017. This is not an exhaustive test code list, however you can access additional test codes from our Test Center using the link below: Toxicology CPT code Changes for 2017. Test 2016 CPT 2017 CPT. DOS Test Name code code (s) code (s). Drug Toxicology Panel Test Codes 91491 Drug Toxicology Monitoring 1 Screen, Urine 91481 Drug Toxicology Monitoring 1 with Confirmation, Urine 91492 Drug Toxicology Monitoring 2 Screen, Urine 91482 Drug Toxicology Monitoring 2 with Confirmation, Urine 91493 Drug Toxicology Monitoring 3 Screen, Urine 91483 Drug Toxicology Monitoring 3 with Confirmation, Urine 91494 Drug Toxicology Monitoring 4 Screen, Urine 91484 Drug Toxicology Monitoring 4 with Confirmation, Urine 91495 Drug Toxicology Monitoring 5 Screen, Urine 80301.

4 80307. 91485 Drug Toxicology Monitoring 5 with Confirmation, Urine (HCPCS: G0479). 91497 Drug Toxicology Monitoring 6 Screen, Urine 91486 Drug Toxicology Monitoring 6 with Confirmation, Urine 91498 Drug Toxicology Monitoring 7 Screen, Urine 91487 Drug Toxicology Monitoring 7 with Confirmation, Urine 91499 Drug Toxicology Monitoring 8 Screen, Urine 91489 Drug Toxicology Monitoring 8 with Confirmation, Urine 92470 Drug Toxicology Monitoring 9 Screen, Urine 92469 Drug Toxicology Monitoring 9 with Confirmation, Urine Toxicology CPT code Changes for 2017. Test 2016 CPT 2017 CPT. DOS Test Name code code (s) code (s). Drug Toxicology Monitoring Individual Test Codes 91527 Drug Toxicology Monitoring Alcohol, Ethyl, Screen, Urine 91508 Drug Toxicology Monitoring Alcohol, Ethyl, with Confirmation, Urine 91521 Drug Toxicology Monitoring Amphetamines, Screen, Urine 91502 Drug Toxicology Monitoring Amphetamines, with Confirmation, Urine 91522 Drug Toxicology Monitoring Barbiturates, Screen, Urine 91503 Drug Toxicology Monitoring Barbiturates, with Confirmation, Urine 91523 Drug Toxicology Monitoring Benzodiazepines, Screen, Urine 91505 Drug Toxicology Monitoring Benzodiazepines, with Confirmation, Urine 91524 Drug Toxicology Monitoring Buprenorphine, Screen.

5 Urine 91506 Drug Toxicology Monitoring Buprenorphine, with Confirmation, Urine 91526 Drug Toxicology Monitoring Cocaine Metabolite, Screen, Urine 91507 Drug Toxicology Monitoring Cocaine Metabolite, with Confirmation, Urine 91528 Drug Toxicology Monitoring Heroin Metabolite, Screen, Urine 91509 Drug Toxicology Monitoring Heroin Metabolite, with Confirmation, Urine 91529 Drug Toxicology Monitoring Marijuana Metabolite 20, Screen, Urine 80301. 80307. 91510 Drug Toxicology Monitoring Marijuana Metabolite 20, with Confirmation, Urine (HCPCS: G0479). 91530 Drug Toxicology Monitoring Marijuana Metabolite 50, Screen, Urine 91511 Drug Toxicology Monitoring Marijuana Metabolite 50, with Confirmation, Urine 91531 Drug Toxicology Monitoring MDMA, Screen, Urine 91513 Drug Toxicology Monitoring MDMA, with Confirmation, Urine 91532 Drug Toxicology Monitoring Methadone Metabolite, Screen, Urine 91514 Drug Toxicology Monitoring Methadone Metabolite, with Confirmation, Urine 91533 Drug Toxicology Monitoring Opiates, Screen, Urine 91515 Drug Toxicology Monitoring Opiates, with Confirmation, Urine 91534 Drug Toxicology Monitoring Oxycodone, Screen, Urine 91516 Drug Toxicology Monitoring Oxycodone, with Confirmation.

6 Urine 91535 Drug Toxicology Monitoring Phencyclidine Screen, Urine 91517 Drug Toxicology Monitoring Phencyclidine, with Confirmation, Urine 91536 Drug Toxicology Monitoring Propoxyphene, Screen, Urine 91518 Drug Toxicology Monitoring Propoxyphene, with Confirmation, Urine Toxicology CPT code Changes for 2017. Test 2016 CPT 2017 CPT. DOS Test Name code code (s) code (s). Pain Management Profile Test Codes 16259 Pain Management Base Profile with Confirmation, Urine Pain Management Base Profile with Confirmation, without medMATCH , 16457. Urine 16260 Pain Management Base Profile without Confirmation, Urine 92450 Pain Management Profile 1 with Confirmation, Urine 92451 Pain Management Profile 1 with Confirmation, with D/L Isomers, Urine Pain Management Profile 1 with Confirmation, with D/L Isomers, w/o 92459.

7 MedMATCH. 92458 Pain Management Profile 1 with Confirmation, without medMATCH, Urine 92466 Pain Management Profile 1 without Confirmation, Urine 92453 Pain Management Profile 2 with Confirmation, Urine 92461 Pain Management Profile 2 with Confirmation, without medMATCH, Urine 92467 Pain Management Profile 2 without Confirmation, Urine 16854 Pain Management Profile 3 with Confirmation, Urine 16456 Pain Management Profile 3 with Confirmation, without medMATCH, Urine 80301. 16855 Pain Management Profile 3 without Confirmation, Urine (HCPCS: 80307. G0479), 84311, 92454 Pain Management Profile 4 with Confirmation, Urine 83986, 82570. 92462 Pain Management Profile 4 with Confirmation, without medMATCH, Urine 92468 Pain Management Profile 4 without Confirmation, Urine 90348 Pain Management Profile 5 with Confirmation, Urine 92455 Pain Management Profile 5 with Confirmation, with D/L Isomers, Urine Pain Management Profile 5 with Confirmation, with D/L Isomers, w/o 92463.

8 MedMATCH. 90318 Pain Management Profile 5 with Confirmation, without medMATCH, Urine 90347 Pain Management Profile 5 without Confirmation, Urine 92456 Pain Management Profile 6 with Confirmation, Urine 92464 Pain Management Profile 6 with Confirmation, without medMATCH, Urine 92457 Pain Management Profile 7 with Confirmation, Urine 92465 Pain Management Profile 7 with Confirmation, without medMATCH, Urine 92489 Pain Management Profile 8 with Confirmation, Urine 92490 Pain Management Profile 8 with Confirmation, without medMATCH, Urine Toxicology CPT code Changes for 2017. Test 2016 CPT 2017 CPT. DOS Test Name code code (s) code (s). Pain Management Individual Test Codes 80302.

9 16259 Pain Management Base Profile with Confirmation, Urine 80307. (HCPCS: G0479). Pain Management, Alcohol Metabolites, with Confirmation, with medMATCH, 90079. Urine 16885 Pain Management, Amphetamines, with Confirmation, Urine 91589 Pain Management, Amphetamines, with Confirmation, with D/L Isomers, Urine Pain Management, Amphetamines, with Confirmation, with D/L Isomers, with 91590. medMATCH, Urine 70245 Pain Management, Amphetamines, with Confirmation, with medMATCH, Urine 92222 Pain Management, Amphetamines, without Confirmation, Urine 16886 Pain Management, Barbiturates, with Confirmation, Urine 70246 Pain Management, Barbiturates, with Confirmation, with medMATCH, Urine 92223 Pain Management, Barbiturates, without Confirmation, Urine 16887 Pain Management, Benzodiazepines, with Confirmation, Urine Pain Management, Benzodiazepines, with Confirmation, with medMATCH, 70247.

10 Urine 92224 Pain Management, Benzodiazepines, without Confirmation, Urine 93093 Pain Management, Buprenorphine, with Confirmation including Naloxone 80301. 16901 Pain Management, Buprenorphine, with Confirmation, Urine 80307. (HCPCS: G0479). 70249 Pain Management, Buprenorphine, with Confirmation, with medMATCH, Urine 16207 Pain Management, Buprenorphine, without Confirmation, Urine 93093 Pain Management, Buprenorphine, with Confirmation including Naloxone 16888 Pain Management, Cocaine Metabolite, with Confirmation, Urine Pain Management, Cocaine Metabolite, with Confirmation, with medMATCH, 70248. Urine 92225 Pain Management, Cocaine Metabolite, without Confirmation, Urine 16911 Pain Management, Heroin Metabolite, with Confirmation, Urine Pain Management, Heroin Metabolite, with Confirmation, with medMATCH, 90081.