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

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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.

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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

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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.

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