Department of Human Services WV Bureau for Medical Services
Department of Human Services
WV Bureau for Medical Services
Department of Human Services
WV Bureau for Medical Services

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