00199U - aegislabs.com
Test Menu With 2022 Medicare Fee Schedule
Click the link below to see the respective 2022 Medicare Rates 00165B 00165U 00167B 00167U 00168U
00169 or 00169i 00188OB 00195U
00197U or 00197iU 00199U 00021 0200042030 00801 00802
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 1 of 39
Test Menu With 2022 Medicare Fee Schedule
05700 05701 05702 05703 06210 06230 06400 06401 06403 06510 06520 06530 06560 06710 A La Carte Testing
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Test Menu With 2022 Medicare Fee Schedule
00165B
Test
CPT Code
2022 Medicare Rate
Presumptive Testing*
Amphetamines
Barbiturates
Cannabinoids (Marijuana)
Carisoprodol/Meprobamate (Skeletal
Muscle Relaxants CPT Drug Class)
Cocaine
80307
$62.14
Fentanyl
Meperidine (Opioids & Opiate Analogs
CPT Drug Class)
Methadone
Methamphetamine
Definitive Testing**
Benzodiazepines
Opiates
G0480
$114.43
Oxycodone
Definitive Testing** Tiers
1-7 Drug Class(es)
G0480
$114.43
8-14 Drug Classes
G0481
$156.59
15-21 Drug Classes
G0482
$198.74
22+ Drug Classes
G0483
$246.92
Amphetamines
Barbiturates
Benzodiazepines
Cannabinoids (Marijuana)
Carisoprodol/Meprobamate
Cocaine
Fentanyl
Meperidine
Methadone
Opiates
Oxycodone
MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class)
*Presumptive testing results will reflex to definitive testing via mass spectrometry. Only one presumptive testing code may be billed per day. This code will not be billed if presumptive testing is already performed for same date of service. **Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing.
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 3 of 39
Test Menu With 2022 Medicare Fee Schedule
00165U
Test Amphetamines
CPT Code Presumptive Testing*
2022 Medicare Rate
Barbiturates Benzodiazepines Cannabinoids (Marijuana) Cocaine Heroin
80307
$62.14
Methadone Metabolite (EDDP)
Methadone
Opiates
Oxycodone
1-7 Drug Class(es)
Definitive Testing** Tiers G0480
$114.43
8-14 Drug Classes
G0481
$156.59
15-21 Drug Classes 22+ Drug Classes Amphetamines Barbiturates Benzodiazepines
G0482 G0483
$198.74 $246.92
Cannabinoids (Marijuana)
Cocaine Heroin Methadone MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class) Opiates Oxycodone
*Presumptive testing results will reflex to definitive testing via mass spectrometry. Only one presumptive testing code may be billed per day. This code will not be billed if presumptive testing is already performed for same date of service.
**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing.
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 4 of 39
Test Menu With 2022 Medicare Fee Schedule
00167B
Test
CPT Code
2022 Medicare Rate
Presumptive Testing*
Amphetamines
Barbiturates
Carisoprodol/Meprobamate (Skeletal
Muscle Relaxants CPT Drug Class)
Cocaine Fentanyl
80307
$62.14
Meperidine (Opioids & Opiate Analogs
CPT Drug Class)
Methadone
Methamphetamine
Definitive Testing**
Benzodiazepines Opiates
G0480
$114.43
Oxycodone
Definitive Testing** Tiers
1-7 Drug Class(es)
G0480
$114.43
8-14 Drug Classes
G0481
$156.59
15-21 Drug Classes
G0482
$198.74
22+ Drug Classes
G0483
$246.92
Amphetamines
Barbiturates
Benzodiazepines
Carisoprodol/Meprobamate
Cocaine
Fentanyl
Meperidine
Methadone
MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class)
Opiates
Oxycodone
*Presumptive testing results will reflex to definitive testing via mass spectrometry. Only one presumptive testing code may be billed per day. This code will not be billed if presumptive testing is already performed for same date of service.
**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing.
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 5 of 39
Test Menu With 2022 Medicare Fee Schedule
00167U
Test
CPT Code
2022 Medicare Rate
Presumptive Testing*
Amphetamines
Barbiturates
Benzodiazepines
Cocaine
Heroin
80307
$62.14
Methadone Metabolite (EDDP)
Methadone
Opiates
Oxycodone
Definitive Testing** Tiers
1-7 Drug Class(es)
G0480
$114.43
8-14 Drug Classes
G0481
$156.59
15-21 Drug Classes
G0482
$198.74
22+ Drug Classes
G0483
$246.92
Amphetamines
Barbiturates
Benzodiazepines
Cocaine
Heroin
Methadone
MDA, MDEA, MDMA (Methylenedioxyamphetamines CPT Drug Class)
Opiates
Oxycodone
*Presumptive testing results will reflex to definitive testing via mass spectrometry. Only one presumptive testing code may be billed per day. This code will not be billed if presumptive testing is already performed for same date of service.
**Definitive testing charges will be determined based upon total number of definitive tests performed. Only one CPT/G code will be utilized for definitive testing.
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 6 of 39
Test Menu With 2022 Medicare Fee Schedule
00168U
Test
CPT Code
Definitive Testing
Benzodiazepines
Buprenorphine
Carisoprodol/Meprobamate (Skeletal
Muscle Relaxants CPT Drug Class)
Fentanyl
Gabapentin
Heroin Meperidine (Opioids & Opiate Analogs
G0481
CPT Drug Class)
Methadone
Opiates
Oxycodone
Pregabalin
Tramadol
2022 Medicare Rate $156.59
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 7 of 39
Test Menu With 2022 Medicare Fee Schedule
00169 or 00169i
Test
CPT Code
Definitive Testing
Amphetamines
-Methamphetamine D/L Isomer*
Benzodiazepines
Buprenorphine
Carisoprodol/Meprobamate (Skeletal
Muscle Relaxants CPT Drug Class)
Cocaine
Fentanyl Heroin
G0481
Methadone
MDA and MDMA
(Methylenedioxyamphetamines CPT
Drug Class)
Opiates
Oxycodone
Tramadol
2022 Medicare Rate $156.59
*Positive methamphetamine results will reflex to methamphetamine D/L Isomer testing for 00169i.
CONFIDENTIAL ? FOR INTERNAL AEGIS USE ONLY ? DO NOT REPRODUCE Page 8 of 39
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