G0431 Insurance Policy Changes

HCPCS G0431 is officially defined as "Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter." HCPCS G0431 is referenced in 1 tracked payer policy change from Connecticut Medicaid (HUSKY Health). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0431 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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All billing codesJ35909921299213992029921199214

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