Finding of cocaine in blood. R78.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM R78.2 became effective on October 1, 2018. This is the American ICD-10-CM version of R78.2 - other international versions of ICD-10 R78.2 may differ.
With a few exceptions, billing guidelines for urine drug testing are meant to be consistent with those established by CMS for diagnostic testing safety, accuracy, and quality. For claim submissions containing CPT codes 80305, 80306, and 80307, reimbursement for presumptive testing will be considered. What is the drug management ICD 10 code?
With a few exceptions, BCBSOK’s billing guidelines for urine drug testing are intended to be consistent with CMS’s standards for diagnostic testing safety, accuracy, and quality, and will use CPT® codes 80305, 80306, and 80307 for presumptive testing and HCPCS codes G0480, G0481, G0482, G0483, or G0659 for confirmatory testing.
But CMS also developed codes effective the beginning of 016, and the National Correct Coding Initiative (NCCI) Policy Manual says definitive testing may be reported using HCPCS Level II codes. They differ from the CPT codes based on the number of drug classes, including metabolites tested:
Z02.83Z02. 83 - Encounter for blood-alcohol and blood-drug test. ICD-10-CM.
791714: Cocaine and Metabolite Confirmation, Whole Blood | Labcorp.
CPT® 80307, Under Presumptive Drug Class Screening Procedures. The Current Procedural Terminology (CPT®) code 80307 as maintained by American Medical Association, is a medical procedural code under the range - Presumptive Drug Class Screening Procedures.
Blood-sampling as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure. Y84. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Y84.
What is a metabolite? When a drug has been consumed, the body breaks down the drug, in order to eliminate the drug from the body. During this “breakdown” chemical alteration to the main drug occurs and therefore creates a different substance; a metabolite.
This compound belongs to the class of organic compounds known as benzoic acid esters. These are ester derivatives of benzoic acid.
b. Drug confirmation testing is considered included in CPT codes 80305 – 80307 and HCPCS codes G0480 – G0483, G0659, and is not eligible for separate reimbursement.
presumptive drug testsMost presumptive drug tests at Quest Diagnostics will fit the CPT code 80307. An example of a presumptive drug test is the enzyme multiplied immunoassay, in which the assay reagents include an antibody to the drug and an enzyme-labeled drug molecule of the same drug that is being tested.
CPT 80305 is drug screening by dipsticks, cups, cards or cartridges read visually. CPT 80306 is drug screening by dipsticks, cups, cards or cartridges read on an instrument reader. CPT 80307 is drug screening on a chemistry analyzer.
Z01. 812 Encounter for preprocedural laboratory examination - ICD-10-CM Diagnosis Codes.
Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
NCD - Partial ThromboplastinTime (PTT) (190.16)
Use Additional code to identify the any retained foreign body, if applicable ( Z18 .-)
NEC Not elsewhere classifiable This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
2016 2017 2018 2019 2020 2021 Non-Billable/ Non-Specific Code. R78 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Find of drugs and oth substnc, not normally found in blood.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD L34645 Drug Testing.
For monitoring of patient compliance in a drug treatment program, use diagnosis code Z03.89 as the primary diagnosis and the specific drug dependence diagnosis as the secondary diagnosis.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
If you’re reporting presumptive drug tests using codes 80305-80307, the Centers for Medicare & Medicaid Services reminds medical coders and billers that you can use G0340-G0383 for Medicare coding.
But CMS also developed codes effective the beginning of 016, and the National Correct Coding Initiative (NCCI) Policy Manual says definitive testing may be reported using HCPCS Level II codes. They differ from the CPT codes based on the number of drug classes, including metabolites tested:
80305: Drug tests (s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service.
If your provider is performing validity testing on urine specimens utilized for drug testing, you can’t for bill the validity testing. For example, if a laboratory performs a urinary pH, specific gravity, creatinine, nitrates, oxidants, or other tests to confirm that a urine specimen is not adulterated, this testing is not separately billed.