MedicaidReimbursementMedium impact
Revision of Rates for Clinical Diagnostic Laboratory Testing Codes pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Mar 13, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid increased reimbursement rates for COVID-19 laboratory testing codes to 100% of Medicare rates, with retroactive effective dates. Rates for CPT codes 87428, 87811, and 86413 increased significantly, while 86769 had a small rate decrease.
Action Required
Immediately: Billing team should submit corrected claims for Connecticut Medicaid patients with COVID-19 lab testing using codes 87428, 87811, 86413, and 86769 for dates of service from March 13, 2020 forward to receive updated reimbursement rates. Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download.