Reimbursements
Reimbursement Information
Drugs of Abuse Testing
UPDATE: On April 1, 2010 the Centers for Medicare and Medicaid Services (CMS) issued new reimbursement guidelines for Drugs of Abuse testing.
DISCLAIMER: The attached FAQs are our summary and interpretation only of the CMS materials currently available. Under no circumstances does Alfa guarantee reimbursement by private insurance carriers or Medicare/Medicaid. Always refer to CMS or your relevant insurance carrier for up-to-date and state by state reimbursement information.
The following files have been provided for your convenience:
• Reimbursement FAQs – 5-17-2010
• MLN Matters
• Provider Inquiry Assistance (CPT Codes)
• CMS Manual (Issue 100-20)
However for more complete details of these specific changes it is important to visit www.cms.gov.
Other commonly used CPT codes (non-DOA) as of September 2009:
PLEASE NOTE: The above listed CPT Codes and Average Reimbursements are provided as suggestions and estimates only and are subject to change and should not be considered guaranteed. For the most current information on state by state fee schedules visit www.cms.hhs.gov
