cpt for urine drug screen testing

[PinchandBurn]

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I dont write for many opioids. However, routintely we do UDS at the clinic. Typically, I just do the point of care testing. If I am writing for opioids or there's something questinably positive I sent out for Ameritox (quatitative testing,etc).

I was told by someone that if I do even the point of care testing, there is a CPT for this? Is this really the case? I havent been billing for it...I thought you could only bill for it it you did quantitative testing.

Someone recently told me there's an analysis code and it's for every Rx/drug you checked for, regardless of whether you are hospital or office based? Is this true? If so, how do you code for it?

 

[lobelsteve]

Sounds interesting. If you do not write a lot of opiates, why are you doing a lot of testing?


Or was it just your phraseology, i.e. you test for those you Rx?

http://flsipp.org/MedicareAlerts/04..., MEDICARE CLARIFICATION OF CODING Vaughn.pdf

 

[Ducttape]

what do you do about the negatives?

how are you distinguishing Vicodin from Morphine in your POC testing?


in fact, how are you distinguishing heroin from any non-synthetic opioid?

 

[emd123]

I do point of care and LC/mass-spec on all my UDSs, so i get to compare the finals on every patient. The point of care's are wrong so often, I'm thinking of stopping doing them and only doing send out. In-office urines are terrible. I think in this day and age, if you are testing, they all need to be sent out. You're just leaving to much to chance by relying on a test, positive or negative, consistent or inconsistent, by not confirming.

 

[PinchandBurn]

Sounds interesting. If you do not write a lot of opiates, why are you doing a lot of testing?


Or was it just your phraseology, i.e. you test for those you Rx?

http://flsipp.org/MedicareAlerts/04..., MEDICARE CLARIFICATION OF CODING Vaughn.pdf

To clarify-

I primarily do it to test for any illicit substances--thc, coccaine. If those are present, I do not write for ANY controlled substances.

So at times when I do write for opioids, I do the POC to make certain that it's neg for thc or coccaine, or other illicits.

 

[Ducttape]

To clarify-

I primarily do it to test for any illicit substances--thc, coccaine. If those are present, I do not write for ANY controlled substances.

So at times when I do write for opioids, I do the POC to make certain that it's neg for thc or coccaine, or other illicits.

how sure are you that the patient you are going to write opioids for isnt using oxycodone (can be negative on POC testing)?