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Posted By jamie on 02-05-2019, 13:41:15 in Ob-Gyn
Our office has decided to stop sending the urine drug screenings to an outside lab and start doing them in office. When Medical Assistants are placing the orders for the urine drug screens I am seeing diagnosis on the orders that are confusing to me.

If a pt tests positive at initial visit they will test through out the pregnancy. I have some patients that tested positive the first visit but last 4 have been negative. Is it appropriate that they keep ordering the urine drug screen (80305) with R82.5 elevated urine levels of drugs, medications, and biological substances?
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Posted By Melanie Witt on 02-05-2019, 17:57:38
No, it is not. You code what you know at the end of the visit if more correct than the reason for the visit. So if the first test is positive, the second test is being done for elevated levels, but if that one comes back negative, the next test can no longer be reported for that reason. Instead if the patient must still be seen to monitor her drug issues you can go with O99.92_
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