Frequently Asked Questions
Procedure Codes for Drug Testing
Effective January 1st, 2016, Medicare’s Final Determination – which the DWC adopted and incorporated – made seven changes to Drug Testing.
As of January 1st, 2016, Medicare’s Final Determination deleted the following drug testing codes:
- G6030 through G6058
To replace the deleted codes, there are seven new G-codes for drug testing.
3 New Procedure Codes for Presumptive Drug Testing:
NOTE: Only 1 of the 3 presumptive codes allowed per day.
The table below lists the reimbursements for the new presumptive G-codes.
4 New Procedure Codes for Definitive Drug Testing:
NOTE: Only 1 of the 4 definitive codes allowed per day.
The table below lists the reimbursements for the new definitive G-codes.
Drug Classes = AMA CPT Manual
Medicare’s Final Determination uses the drug classes listed in the AMA CPT Manual.
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