Billing and Coding: Urine Drug Testing (A55001) - R20 - Effective October 1, 2023

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: October 1, 2023

Summary of Article Changes:

Revision History R18 should have also included the following:

Under ICD-10 Codes that support Medical Necessity Group 1 Codes added: E87.20 and deleted: F11.21, F12.20, F15.20, F19.10, F19.14, M25.59, M54.50, M54.59, Z91.141, Z91.148, Z91.151, Z91.158.

These updates are effective 10/08/2023.

The following ICD-10 Codes were previously mentioned as deleted in R18 but were listed incorrectly: F10.21, F10.230, F10.280, F10.288. They were not deleted as they were not in the policy.

Revision History R19 should have indicated the ICD-10 Annual Updates were effective 10/01/2023.

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Last Updated Oct 12 , 2023