MedicaidReimbursementHigh impact
Change in Reimbursement for Automated Laboratory Services
Illinois Medicaid - HFS·IL · Pathology, Family Medicine, Internal Medicine +1 more·Provider Notice
Effective date
Oct 1, 2008
We identified it
Jun 21, 2026
Summary
Effective October 1, 2008, automated laboratory services (CPT codes 80000-85999) will no longer be reimbursed for the professional component - only the technical component will be paid. Claims submitted with modifier 26 for the professional component will be rejected.
Action Required
Before October 1, 2008: Billing team must update billing software to submit only technical components for automated lab codes 80000-85999. Remove modifier 26 from all automated lab claims as these will be automatically rejected. Update fee schedule when department releases updated rates with Note 'N' designations.