All PlansCoverageMedium impact
Newsletter Vol. 21, No. 20
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Pain Management +2 more·Pharmacy
We identified it
Jun 20, 2026
Summary
This policy update addresses coverage and reimbursement guidelines for drug screening tests using specific CPT and HCPCS codes. The billing team should review current practices for submitting claims related to these drug screening procedures to ensure compliance with updated requirements.
Action Required
Immediately: Billing team must review and implement updated coverage and reimbursement guidelines for drug screening test codes 80100, 80101, 80101QW, 80102, 80104, 80104QW, G0430, G0431, G0434, and G0434QW. Access the full policy document at the provided URL to understand specific requirements and update billing system parameters accordingly.