Health Information Management

Tip: Reporting definitive drugs tests in 2015

APCs Insider, July 10, 2015

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

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.

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular