Sunday, December 19, 2010

CPT g0430 WITH modifier qw

CPT G0430 & G0430 QW

G0430 – Drug screen, qualitative; multiple drug classes other than chromatographic
method, each procedure

This HCPCS code must be used when reporting any qualitative, non-chromatographic,
multiple drug class assays. The code is reported only once per procedure. Urine cups,
test cards, test strips or other point-of-care devices which provide results for more than
one class of drug will be paid only $20.83 no matter how many drug classes are
determined.

Medicare reimbursement for G0430 will continue to be $20.83.

G0430QW – Drug screen, qualitative; multiple drug classes other than chromatographic
method, each procedure, CLIA waived test.

This new HCPCS code will become effective April 1, 2010, and must be used when
reporting qualitative, non-chromatographic, multiple drug class assays classified as
“CLIA waived” by the FDA.

Medicare reimbursement for G0430QW will be $20.83 after April 1, 2010.

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