Billing and Coding: Urine Drug Testing

This article contains coding that complements the Local Coverage Determination (LCD) for Urine Drug Testing. Coding Guidelines: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare. For services requiring a referring/ordering physician, the name and NPI of the referring/ordering physician must be reported on the claim. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act. The diagnosis code(s) must best describe the patient's condition for which the service was performed. For diagnostic tests, report the results of the test if known; otherwise the symptoms prompting the performance of the test should be reported.