2025 HCPCS Code G0659

Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes

TAGS: structural methods drugs performed necessarily immunoassays alcohol class enzymatic number qualitative distinguish utilizing stable excluding identify metabolite isomers limited isotope individual identification classes quality recognized method internal specimen universally validity control single
Short DescriptionDrug test def simple all cl
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2017
HCPCS Action Effective Date January 01, 2017
HCPCS Pricing Indicator Code 21 - Price subject to national limitation amount
HCPCS Type Of Service Code 5 - Diagnostic laboratory
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 340 - Toxicology
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