tci Part B Insider - 2015 Issue 28

Part B Coding Coach: CMS Proposal Would Dramatically Alter Drug Testing Codes

Agency fears overpayment for drugs-of-abuse testing. Billing for Medicare-beneficiary drug testing is about to change — again. No, you won’t get to use the myriad codes from the CPT® 2015 drug-test coding update that Medicare declined to use this year. Nor will you continue to use the 28 “G” codes that CMS put in place for drug test reporting in 2015. Instead, you’ll turn to just two codes in 2016 for all your Medicare drug test coding — that is, if CMS goes through with the proposal presented at the July 16, 2015 Annual Clinical Laboratory...

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