MedicaidNovember 30, 2021
Reimbursement policy update: Drug Screen Testing (effective March 1, 2022)
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Effective March 1, 2022, separate reimbursement is not allowed for specimen validity testing when utilized for drug screening. Reimbursement is included in the CPT® and HCPCS code descriptions for presumptive and definitive drug testing. Modifier 59, XE, XP, XS, and XU will not be allowed to override.
For additional information, please review the Drug Screen Testing reimbursement policy at https://providerpublic.empireblue.com.
PUBLICATIONS: December 2021 Newsletter
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