How To Use CPT Code 0093U

CPT 0093U describes the evaluation of 65 common drugs by LC-MS/MS in a urine specimen. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0093U?

CPT 0093U can be used to evaluate the presence or absence of 65 common prescription drugs in a patient’s body using liquid chromatography and tandem mass spectrometry (LC-MS/MS) analysis of a urine specimen. This code is specific to the ComplyRX™ test from Claro Labs and is used to determine if a patient is at steady-state for prescription medications.

2. Official Description

The official description of CPT code 0093U is: ‘Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected.’

3. Procedure

1. The lab analyst performs a test using liquid chromatography and tandem mass spectrometry (LC-MS/MS) to precisely identify and determine the presence or absence of 65 common prescription drugs in a urine specimen.
2. The urine specimen is prepared for analysis by passing it through a high-pressure liquid chromatograph to separate the components.
3. The components in the urine specimen are ionized and transferred to mass spectrometers to provide structural identity and quantification of individual components based on mass to charge ratio.
4. The LC-MS/MS analysis includes all drugs and metabolites evaluated on a single date of service.

4. Qualifying circumstances

CPT 0093U is used when evaluating the presence or absence of 65 common prescription drugs in a patient’s body using LC-MS/MS analysis of a urine specimen. This test is typically ordered to assess whether a patient is at steady-state for prescription medications. It is important to note that this code is specific to the ComplyRX™ test from Claro Labs and should not be reported with any other CPT code.

5. When to use CPT code 0093U

CPT code 0093U should be used when evaluating the presence or absence of 65 common prescription drugs in a patient’s body using LC-MS/MS analysis of a urine specimen. This test is typically ordered to assess whether a patient is at steady-state for prescription medications. It should only be reported for the specific ComplyRX™ test from Claro Labs and should not be reported with any other CPT code.

6. Documentation requirements

To support a claim for CPT code 0093U, the following documentation is required:

• Specific information about the patient’s prescription medications and the need for drug monitoring
• Date of service and the specific ComplyRX™ test from Claro Labs
• Results of the LC-MS/MS analysis, including the presence or absence of each of the 65 common prescription drugs

7. Billing guidelines

When billing for CPT code 0093U, ensure that the test is performed using the ComplyRX™ test from Claro Labs. This code should not be reported with any other CPT code. It is important to report one unit of this code for a single specimen analyzed on a single date of service.

8. Historical information

CPT code 0093U is a Proprietary Laboratory Analyses (PLA) code that was added to the CPT code set. It is specific to the ComplyRX™ test from Claro Labs and was created to evaluate the presence or absence of 65 common prescription drugs in a patient’s body using LC-MS/MS analysis of a urine specimen. There have been no updates to this code since its addition.

9. Examples

1. A patient undergoes the ComplyRX™ test from Claro Labs to evaluate the presence or absence of 65 common prescription drugs in their body using LC-MS/MS analysis of a urine specimen.
2. A physician orders the CPT code 0093U test to assess whether a patient is at steady-state for their prescription medications.
3. A lab analyst performs the LC-MS/MS analysis on a urine specimen to determine the presence or absence of each of the 65 common prescription drugs.
4. A patient’s urine specimen is analyzed using the ComplyRX™ test from Claro Labs, and the results show the presence or absence of each of the 65 common prescription drugs.
5. A clinician orders the CPT code 0093U test to monitor a patient’s compliance with their prescription medications.
6. A urine specimen is collected from a patient, and the LC-MS/MS analysis is performed to evaluate the presence or absence of 65 common prescription drugs using the ComplyRX™ test from Claro Labs.
7. A lab technician prepares a urine specimen for analysis by passing it through a high-pressure liquid chromatograph to separate the components.
8. The LC-MS/MS analysis of a urine specimen using the ComplyRX™ test from Claro Labs provides information on the presence or absence of each of the 65 common prescription drugs.
9. A patient’s urine specimen is analyzed using LC-MS/MS to determine the presence or absence of 65 common prescription drugs, and the results are reported using the CPT code 0093U.
10. A clinician orders the ComplyRX™ test from Claro Labs to evaluate the presence or absence of 65 common prescription drugs in a patient’s body using LC-MS/MS analysis of a urine specimen.