MedicaidBilling CodesMedium impact
Add'l of Proc Codes to the Ind Lab Fee Schedule & Addendum B pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jun 25, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has added 7 new laboratory procedure codes to their fee schedule, all related to COVID-19 testing including antigen, antibody, and multiplex respiratory panel tests. The codes have retroactive effective dates ranging from June 2020 to October 2020 with interim reimbursement rates that will be updated once Medicare sets final rates.
Action Required
Immediately: Billing team must update fee schedules and billing systems to include the 7 new COVID-19 laboratory codes (87426, 86408, 86409, 86413, 87811, 87636, 87637) with Connecticut Medicaid interim rates. Download updated fee schedule from www.ctdssmap.com and update Addendum B for hospital billing. Note that rates will be automatically reprocessed when Medicare publishes final rates.