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H0049 Service Type Codes to Send

HCPCS code

Drug screening and testing

CMS description

Alcohol and/or drug screening

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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