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Ambetter Health Billing Code Update for CPT Codes 80320-80377 Effective 10/01/2026
Act
by Sep 30, 2026
Effective date
Oct 1, 2026
Identified
Aug 26, 2026
Summary
Effective October 1, 2026, Ambetter Health will no longer reimburse CPT codes 80320-80377 (Definitive Drug Testing Procedures). Providers must transition to G-series bundled laboratory codes for these services to maintain reimbursement.
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What to do
by Sep 30, 2026 · 5 steps
01Billing team must update billing software to map all CPT codes 80320-80377 to the appropriate G-series bundled laboratory codes.
02Audit all recurring orders and protocols that reference CPT 80320-80377 and update them to use G-series alternatives.
03Notify providers and laboratory staff of the transition.
04Beginning October 1, 2026, do not bill CPT 80320-80377 to Ambetter Health—all claims will be denied.
05Contact Ambetter Provider Relations Representative if G-series code mapping guidance is needed.
Codes mentioned
80320803218032280323803248032580326803278032880329803308033180332803338033480335803368033780338803398034080341803428034380344803458034680347803488034980350803518035280353803548035580356803578035880359803608036180362803638036480365803668036780368803698037080371803728037380374803758037680377
Original notice
Ambetter Health Billing Code Update for CPT Codes 80320-80377 Effective 10/01/2026
ambetterhealth.com · Always check the source before changing claims.
Related changes
See all Ambetter changes →Update for CPT Codes 80320-80377: Effective 10/1/2026HighEffective Oct 1, 2026 · CodingUpdate for CPT Codes 80320-80377: Effective 10/1/2026HighEffective Oct 1, 2026 · CodingUpdate for CPT Codes 80320-80377: Effective 10/1/2026HighEffective Oct 1, 2026 · CodingAmbetter Health Billing Code Update for CPT Codes 80320-80377 Effective 10/01/2026HighEffective Oct 1, 2026 · CodingBrowse every Ambetter change in the policy list
Related policy hubs
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