Conversion factor increased 2.4% to $64.92. Clinic Laboratory Fee Schedule. Payment is set at 250% of North Dakota's Medicare Laboratory fee schedule. Presumptive drug screening codes must be billed with CPT codes 80305, 80306, or 80307. Definitive drug testing must be billed with HCPC codes G0480-G0483. Dental Fee Schedule. REIMBURSEMENT POLICY CMS-1500 Policy Number 2020R6005A-LA ... Community Plan reimbursement policies uses Current Procedural Terminology (CPT ... (CPT® codes 80305, 80306, and 80307) and definitive drug testing (HCPCS codes G0480 and G0481) and addresses Specimen Validity Testing.
included in 80305 80307– , G0480 – G0483, and G0659 when submitted in combination with these codes . • CPT codes , and 80320 – 80377 are not accepted for processing by Moda Health. o These services should be reported with G0480 – G0483, G0659. o CPT codes 80320 – 80377 will be denied to provider liability as follows: EX code 53B.
Commercial Reimbursement Policy CMS 1500 Policy Number 2022R6005A ... 80305 80306 80307 H0003 Definitive drug testing, ... Proprietary Laboratory Analysis CPT codes may be reported and are considered under the policy guidelines pertaining to definitive drug testing.
Procedure Code Description 2016 National Averages1 Facility Non-Facility 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation $36.52 $36.52 94010 TC Technical Component $27.93 $27.93 94010 26 Professional Component $8.59 $8.59 94060.