Medicare AdvantageCoverageHigh impact
Update for HCPCS Codes G0482 and G0483
Ambetter·OH · Pain Management, Psychiatry, Occupational Medicine +2 more·Medical Policy
Effective date
Jun 10, 2026
We identified it
Aug 26, 2026
Summary
Effective immediately, HCPCS codes G0482 and G0483 (definitive drug testing with 15-21 and 22+ drug classes respectively) are no longer reimbursable under Clinical Policy CP.MP.50. Codes G0480 and G0481 remain covered when medical necessity is documented. Billing teams must stop submitting claims for G0482 and G0483 to avoid denials.
Action Required
Effective immediately (06/10/26): Billing team must stop submitting claims for HCPCS codes G0482 and G0483. Update billing software to reject or flag these codes as non-reimbursable. For all drug-of-abuse testing cases, providers must transition to codes G0480 or G0481 with documented medical necessity. Audit accounts receivable for any pending claims containing G0482 or G0483 and either resubmit with alternative codes or contact the payer for guidance. Train all billing staff and providers on this change to prevent claim denials. Contact your AmBetter Provider Relations Representative with questions about alternative coding options.