Medicare AdvantageBilling CodesHigh impact
Ambetter Health Billing Code Update for CPT Codes 80320-80377 Effective 10/01/2026
Ambetter·FL·Coding
Effective date
Oct 1, 2026
We identified it
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 billing G-series bundled laboratory codes instead to maintain reimbursement for these services.
Action Required
By September 30, 2026: Billing team must update billing software and clinical systems to discontinue use of CPT codes 80320-80377 for Ambetter Health claims. Map all definitive drug testing procedures to appropriate G-series bundled laboratory codes in the billing system. Audit any standing orders, templates, or protocols that reference CPT 80320-80377 and update them to reflect the new G-series codes. Communicate the code transition to all clinical staff and providers. Starting October 1, 2026, any claims submitted with CPT codes 80320-80377 to Ambetter Health will be denied. Contact Ambetter Health Provider Relations Representative for specific G-series code mapping guidance.