All PlansCoverageHigh impact
Update for HCPCS Codes G0482 and G0483
Ambetter·Occupational Medicine, Pain Management, Psychiatry·Medical Policy
Effective date
Jun 5, 2026
We identified it
Aug 26, 2026
Summary
Effective immediately (06/05/26), HCPCS codes G0482 and G0483 for definitive drug testing are no longer reimbursable under Clinical Policy CP.MP.50. Codes G0480 and G0481 remain covered when medical necessity is indicated. Billing teams must stop submitting claims for G0482/G0483 and transition to alternative covered codes.
Action Required
Immediately (effective 06/05/26): Billing team must update billing system to deny/block submission of HCPCS codes G0482 and G0483 for all payers. Remove these codes from encounter templates and fee schedules. For all drug testing orders currently coded as G0482 or G0483, re-code to G0480 or G0481 with documented medical necessity. Notify all providers that G0482/G0483 are no longer covered and direct them to use G0480/G0481 instead. Audit claims submitted in the past 30 days and resubmit any claims with G0482/G0483 using approved alternative codes (G0480/G0481). Claims submitted with non-covered codes G0482/G0483 will be denied.