decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 5 (May)
Quick coding chart: Presumptive drug test, instrument chemistry analyzer — 80307
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Article Overview
This coding reference explains the scope of presumptive drug testing reported with CPT 80307 and places it in the context of Medicare billing history, payment indicators, and utilization limits. It is aimed at coders, billing staff, and practices that bill drug testing services, especially those needing to understand the transition from earlier related drug screen codes and the kinds of ICD-10-CM diagnoses commonly cited for medical necessity.
Why This Topic Matters
The article helps readers recognize when a presumptive drug test is being discussed in relation to the current CPT code and how payer-facing documentation context has changed over time. It is useful for reducing claim denials, aligning documentation with billing requirements, and understanding which diagnosis categories are presented as supportive examples.
Article Sections
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Medicare payment background
Summarizes Medicare data and the article’s framing of the code’s reimbursement and denial context. It also places the code in a historical sequence of related drug screening codes.
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Code 80307
Presents the code entry and a broad plain-language overview of the service type discussed in the chart.
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Medicare payment indicators, MUE for 80307 — 2017
Lists utilization and adjudication information associated with the code for the referenced year.
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Sample ICD-10-CM codes that may support medical necessity
Provides example diagnosis codes grouped as possible medical-necessity support for the service.
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Coder’s notes
Contains editorial coding notes about the code’s placement in the code set, reporting context, and related billing considerations.
What You Will Learn
- How the article situates presumptive drug testing code 80307 in Medicare and CPT context
- What types of utilization and payment indicator information are highlighted for the code
- Which diagnosis-code examples are presented as potentially supporting medical necessity
- How the article frames the code’s relationship to earlier related drug screen codes
- What additional coder notes are provided alongside the chart
Who Should Read This
- Medical coders
- Billing staff
- Pain management practices
- Anesthesia practices
- Revenue cycle teams
- Compliance staff
Codes Discussed
Code Ranges Discussed
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