Controlled Substance Monitoring and Drugs of Abuse Testing
J9 · Effective Oct 11, 2015
19 active Medicare policies list 80305, and 7 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J9 · Effective Oct 11, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Oct 5, 2015
J6 · Effective Dec 24, 2023
JK · Effective Dec 24, 2023
JE · Effective Jun 28, 2016
JF · Effective Jun 28, 2016
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
7 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drugs of Abuse: Definitive Drug Testing | Not recorded | Covered |
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain | Dec 18, 2025 | Covered |
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing in Pain Management and Substance Use Disorder Treatment | Jan 1, 2026 | Covered |
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JL · Effective Oct 1, 2024
J9 · Effective Oct 1, 2024
National · Effective Jun 1, 2026
National · Effective Jun 1, 2026
National · Effective Apr 16, 2026
J5 · Effective Jun 1, 2026
J6 · Effective Jun 1, 2026
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing in Pain Management and Substance Use Disorder Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing in Pain Management and Substance Use Disorder Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing in Pain Management and Substance Use Disorder Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 80305 |
|---|---|---|
| Drug Testing for Substance Use and Pain Management | Apr 1, 2026 | Covered |