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Describe a service in plain words, or type a CPT/HCPCS code.

CPT 80307

Presumptive Drug Screening

Priced under CLFS

80307 · PFS Q1 2025 · Historical

Status X is not separately payable under the PFS.

View applicable payment rules

Not at a published national rate. CPT 80307 carries status X (statutory exclusion) in the Q1 2025 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

PFS status evidence

Inspect PFS status evidence
Code
80307
Release
Q1 2025, revision 1
Result
Priced under CLFS

Citations

  • Establishes the PFS status (X) and the resulting pathway for this code: priced under clfs.

    Physician relative value file (PPRRVU)

    Q1 2025 · revision 1

    Latest revision of this release

    Release period: January 1 – March 31, 2025

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    Record details PPRRVU25_JAN.csv in rvu25a-updated-01-10-2025.zip (row 15,380)
    hcpcs (col 1)
    80307
    modifier (col 2)
    blank
    status_code (col 4)
    X

    SHA-256: c0539b47cbc042fd1b69798e6dd911219f4893bb5be793ae1d1771e7a7151a54

    Original source file

Compact facts

Why is there no national PFS amount for 80307?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. Status X is not separately payable under the PFS.

Payment considerations Copy link

The inputs and payment rules that apply to this code. Each link jumps to its detail below.

Other payment indicators (9)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Contractor pricing: Does not apply.

Payment rules

Global period: what 80307's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 80307.

See every current NCCI pair for 80307 →

Common payment questions Copy link

Why would a Medicare claim for 80307 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is X (statutory exclusion)—The statutory definition of physician services does not include this item. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

History

Rate history by release Copy link

National office (non-facility) amount for 80307 across quarterly releases.

Release Status Office Facility
Q4 2026 takes effect Oct 1, 2026 X
Q3 2026 Jul 1, 2026 – Sep 30, 2026 X
Q2 2026 Apr 1, 2026 – Jun 30, 2026 X
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage & related

How often 80307 is billed Copy link

Across Original Medicare in CY2024, 80307 ranked #185 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars. It repeats: a patient billed for it in 2024 was billed 2.5 times on average that year.

Beneficiaries
773,792
Office + facility patients combined
Services
1.9M
Times it was billed
Allowed
$114.9M
Total Medicare allowed dollars
Compare: ↑ #184 more popular · 11103 ↓ #187 less popular · 99202

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q1 2025 fee schedule above.

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q1 2025 release (effective January 2025). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before they ship.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This citation identifies the source release, so its evidence remains reproducible after a newer release lands.

CPT 80307 National PFS baseline: No national PFS rate (Q1 2025; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/80307/2025/A