Urine drug testing settlements signal suspicious CPT coding, billing patterns

Article Overview

This article discusses compliance and billing concerns related to urine drug testing services, drawing on settlement allegations involving state and federal enforcement actions. It is relevant to coders, compliance staff, auditors, and clinical practices that bill urine drug testing services under CPT and HCPCS guidance. The article focuses on broad patterns in documentation, medical necessity, and coordination between presumptive and definitive testing, along with the types of coding and billing issues that have attracted scrutiny.