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MedicaidReimbursementLow impact

Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes pdf

Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health programs) has updated reimbursement rates for four specific laboratory testing codes, effective retroactively from January 1, 2019. The rates were reduced to comply with federal law requiring Medicaid payments not exceed Medicare rates for laboratory services.

Action Required

Action needed
Connecticut providers only: Update billing system with new laboratory fee rates for codes 81316 ($230.35), 82286 ($5.73), 83987 ($3.98), and 86821 ($40.62) for HUSKY Health programs. Download updated lab fee schedule from www.ctdssmap.com under Provider Fee Schedule Download. Claims from January 1, 2019 forward will be automatically adjusted to new rates.

Affected Billing Codes

81316
82286
83987
86821