Health Information Management

Tip: Reporting definitive drugs tests in 2015

APCs Insider, July 10, 2015

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Coders will find 59 new codes in the 2015 CPT® Manual for reporting definitive drug tests, arranged by drug class.
 
These codes identify individual drugs and distinguish between structural isomers. For example, alcohols are reported with code 80320.
 
Definitive tests can be qualitative, quantitative, or a combination of both and any metabolites not listed should be categorized by the parent drug. Each category is reported once per date of service, and drug classes may contain one or more codes depending on the number of analytes.
 
Definitive drug tests that are not specified in codes 80320-80373 should be reported with a not otherwise specified code that specifies the number of analytes reported. Those codes are 80375 (one to three analytes), 80376 (four to six), and 80377 (seven or more). The exception would be if those analytes are listed in the therapeutic drug assay or chemistry sections.
 
This tip is adapted from “Overhauled 2015 CPT drug test codes bring changes for coders and providers" in the July issue of Briefings on APCs.



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