Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing (A55001) - R12 - Effective October 01, 2021

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: October 01, 2021

Summary of Article Changes: Under Group 1: ICD-10-Codes that Support Medical Necessity added M54.50, M54.51, M54.59.

Visit the Molecular Diagnostic Services (MolDX) webpage to access the locally hosted MolDX Medicare Coverage Article from the “Covered Tests” or the “Excluded Tests” webpage.

To view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Medicare Coverage Articles webpage.


Last Updated Jan 25 , 2022