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H0048 Service Type Codes to Send

HCPCS code

Drug screening and testing

CMS description

Alcohol and/or other drug testing: collection and handling only, specimens other than blood

In the order to send them

  1. 1AISubstance Abuse
  2. 25Diagnostic Lab

Why these codes

Testing done as part of substance use treatment; covered under the substance abuse benefit, with diagnostic lab as the fallback.

If a payer returns nothing

Payers don't all answer every service type. Send 30 (Health Benefit Plan Coverage) for the plan's general benefits.

Sources

CMS HCPCS Level II descriptor; X12 HIPAA 5010 service type code definitions; VerifyTX billing practice

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