MedicaidPrior AuthMedium impact
Reimbursement Update of Code 81528 on Independent Laboratory Fee Schedule
Connecticut Medicaid (HUSKY Health)·CT · Gastroenterology, Oncology, Family Medicine +1 more·Reimbursement
Effective date
Sep 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid increased reimbursement for CPT code 81528 (colorectal cancer screening test) from $185.95 to $349.55, but now requires prior authorization. This affects all Connecticut HUSKY Health programs including HUSKY A, B, C, and D.
Action Required
Effective September 1, 2016: Billing team must update system to require prior authorization for CPT code 81528 (colorectal cancer screening) for all Connecticut Medicaid/HUSKY Health plans. Update fee schedule to reflect new reimbursement rate of $349.55. Contact Provider Assistance Center at 1-800-842-8440 for billing questions.