Billing and Coding: Urine Drug Testing

This article provides billing and coding guidance for urine drug testing and supplements the Local Coverage Determination (LCD). Claims must include a valid ICD-10-CM diagnosis and, when applicable, the referring/ordering physician's name and NPI; providers must report test results or the symptoms prompting the test and check NCCI and OPPS edits before billing Medicare.

"Procedure codes for urine drug testing may be subject to National Correct Coding Initiative (NCCI) edits or Outpatient Prospective Payment System (OPPS) packaging edits and must be checked prior to..."

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