All PlansCoverageMedium impact
Newsletter Vol. 22, No.01
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Pain Management +2 more·Pharmacy
We identified it
Jun 20, 2026
Summary
Coverage and reimbursement policies for drug screening tests have been revised, affecting multiple CPT and HCPCS codes used for substance testing. This impacts billing procedures and payment rates for drug screening services across healthcare practices.
Action Required
Immediately: Billing team must review the complete policy document at the provided URL to understand specific coverage and reimbursement changes for drug screening codes. Update billing system settings and fee schedules as needed based on the detailed policy requirements. Verify coverage criteria before billing these codes to avoid claim denials.