Billing and Coding: Urine Drug Testing

This policy provides billing and coding guidance for urine drug testing complementary to LCD L35724. Claims must include a valid ICD-10-CM diagnosis code and, when applicable, the referring/ordering physician's name and NPI; test results should be reported if available. Procedure codes may be subject to NCCI and OPPS edits, so verify coding edits prior to billing.

"Procedure codes billed for urine drug testing may be denied or adjusted if they are subject to National Correct Coding Initiative (NCCI) edits or Outpatient Prospective Payment System (OPPS) packag..."

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