Q&A: Reporting laboratory tests with 2015’s new CPT codes

May 27th, 2015

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses how a laboratory drug screen may be reported under 2015 CPT changes, with attention to differences between non-Medicare and Medicare payer approaches. It is aimed at coding professionals who need to understand the general reporting context for laboratory testing and payer-driven selection considerations without relying on the premium article’s full discussion.

Why This Topic Matters

Laboratory drug testing reporting can vary by payer and by the coding system in use, so coders need a clear understanding of which code set applies in different situations. This article helps readers identify the broad reporting framework involved in a common prescription-monitoring scenario.

What You Will Learn

  • How the article frames payer-specific reporting considerations for laboratory drug testing.
  • What general coding topics are involved in the 2015 CPT laboratory testing update.
  • How the discussion distinguishes between Medicare and non-Medicare reporting contexts.
  • What type of clinical scenario prompted the coding question.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Billing staff
  • Revenue cycle professionals

Codes Discussed

  • CPT: 80301
  • HCPCS Level II: G0431

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