HCPCS Code G0480: Drug Testing, Definitive, 1–7 Drug Class(es), Including Metabolites, Per Day, Excluding Immunoassays

HCPCS Code G0480: Drug Testing, Definitive, 1–7 Drug Class(es), Including Metabolites, Per Day, Excluding Immunoassays

Obtain a list of the documentation and billing requirements needed to properly use and bill for HCPCS code G0480 from our short guide.

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Frequently asked questions

Yes, but only if medically necessary and documentation supports why definitive testing was required in addition to presumptive testing.

Presumptive testing (e.g., immunoassay) screens for drug classes but may yield false positives/negatives. Meanwhile, definitive testing (e.g., LC/MS, GC/MS) confirms the presence of specific drugs/metabolites with higher accuracy.

Per CMS, a drug class is defined based on its pharmacological category, not individual analytes.

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