tci Part B Insider - 2015 Issue 43

Part B Coding Coach: Expect 2-Tier Drugs-of-Abuse Reporting for Medicare

Continue to ignore CPT® drug codes. The two proposed “G” codes for Medicare drug-test coding are out, and seven different proposed “G” codes are in. That’s the plan currently on the table in CMS’ Clinical Laboratory Fee Schedule (CLFS) preliminary payment determination. That means when your toxicology lab performs testing for drugs of abuse — both screening and confirmatory testing — you’ll need to learn a new way to report the services in 2016. Read on to get our experts’ guidance on what you need to know beginning January 1. Alert: This proposal differs from...

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