Drug Screening Code Update Effective January 1, 2015

West Virginia Medicaid is following Medicare by adding temporary G codes (G6030-G6058), and retaining G0431 and G0434 for drug screening.  The G codes will have a 24 per rolling year service limit as was discussed in our Spring/Fall 2014 Provider Workshops.  If there is a need for additional testing that meets medical necessity a prior authorization may be obtained through our UMC.  CPT codes 80300-80377 will not be added to our fee schedule in January 2015.  See link below with article from CMS:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Downloads/CY2015-CLFS-Codes-Final-Determinations.pdf


 

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