A recent WSJ article explored CMS reimbursement for office based drug testing in the context of pain management programs. http://online.wsj.com/articles/doctors-cash-in-on-drug-tests-for-seniors-and-medicare-pays-the-bill-1415676782

I posted the following: I have studied this issue in great detail while I was working in a Health Plan special investigations unit. In order to protect against this type of wasteful, if not abusive practice, I have recommended policies on frequency and quality of testing for patients in pain management and substance abuse treatment programs. Many health plans have adopted them. It would be difficult to implement in the context of CMS. Let me know if you need the details.