Billing and coding drug testing

Pain Management Practice Offices - Billing and Coding for Drug Testing Payers' Policy, Documentation and Utilization Guidelines are all here!

DISCLAIMER: Below are payers' guidelines and policy that we have been using  primarily for compliance, medical necessity and utilization guidelines. These policy serves as our guide in all that we do in revenue cycle management, patients access and prior authorization process and we are sharing this to our provider, group and facility clients. All these payer guidelines and the contents on this page are from its own sources and public web portals domain. It is always your responsibility to contact your local carriers, commercial payers, claims adjusters and case managers should you have any questions and any concerns regarding medical necessity policy and determination including utilization and medical/surgical frequency guideline. Reimbursement and clinical guideline questions should always be given to your payers and obtain information/answers from your insurance payers.

Local Coverage Determination, Medical Policy and Guideline

​Read the Coverage Guidance:

• Coverage Indications
• Limitations
• Diagnosis Cross over based on Medical Necessity

Medicare Part B California

Billing and Coding Controlled Substance Monitoring and Drugs of Abuse Testing (L36668) California

Medicare Part B Florida

Medicare Part B Hawaii

Billing and Coding Controlled Substance Monitoring and Drugs of Abuse Testing (L36668) Hawaii

Medicare Part B Indiana

​Billing and Coding Drug Testing LCD L34645 Local Coverage Determination  Indiana

Medicare Part B Iowa

Billing and Coding Drug Testing LCD L34645 Local Coverage Determination  Iowa

Medicare Part B Kansas

Billing and Coding Drug Testing LCD L34645 Local Coverage Determination  Kansas

​Medicare Part B Michigan

Billing and Coding Drug Testing LCD L34645 Local Coverage Determination  Michigan

​Medicare Part B Missouri

Billing and Coding Drug Testing LCD L34645 Local Coverage Determination  Missouri

Medicare Part B New Jersey

Medicare Part B New York

​Medicare Part B Nebraska

Billing and Coding Drug Testing LCD L34645 Local Coverage Determination Nebraska

Medicare Part B Nevada

Billing and Coding Controlled Substance Monitoring and Drugs of Abuse Testing (L36668) Nevada

Medicare Part B North Carolina

​​

Medicare Part B South Carolina

Medicare Part B Washington State