CPT Coding and Drugs of Abuse Testing Recommendations
It is our recommendation based on the currently available information that the appropriate CPT code
for on-site drugs of abuse test kits is;
80101* – Drug Screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay)
*add QW modifier if billing Medicare/Medicaid
For code 80101, each single drug class method tested and reported is to be counted as one drug
class. If a sample is analyzed by five separate class-specific immunoassays and reported separately,
code 80101 should be reported five times. Similarly, if a sample is run on a rapid assay kit composed
of five class-specific immunoassays in a single kit, and the five classes are reported separately, code
80101 should again be reported five times.
X the number of drug classes being tested
2009 National Limit: $20.11
Drug Classes for Billing Purposes | ||
Test | Calibrator | Cut-off |
Amphetamine (AMP 1,000) | d-Amphetamine | 1,000 ng/mL |
Barbiturates (BAR) | Secobarbital | 300 ng/mL |
Benzodiazepines (BZO) | Oxazepam | 300 ng/mL |
Buprenorphine (BUP) | Buprenorphine | 10 ng/mL |
Cocaine (COC 300) | Benzoylecgonine | 300 ng/mL |
Marijuana (THC) | 11-nor-Δ9-THC-9 COOH | 50 ng/mL |
Methadone (MTD) | Methadone | 300 ng/mL |
Methamphetamine (mAMP 1,000) Methylenedioxymethamphetamine (MDMA) Ecstasy | d,l Methylenedioxymethamphetamine | 500 ng/mL |
Opiate (MOP 300) | Morphine | 300 ng/mL |
Opiate (OPI 2,000) | Morphine | 2,000 ng/mL |
Oxycodone (OXY) | Oxycodone | 100 ng/mL |
Phencyclidine (PCP) | Phencyclidine | 25 ng/mL |
Propoxyphene (PPX) | Propoxyphene | 300 ng/mL |
Tricyclic Antidepressants (TCA) | Nortriptyline | 1,000 ng/mL |