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AmbetterExchange · Coverage · Medical Policy · AL · Pain Management, Psychiatry, Internal Medicine +1 moreHigh impact

Update for HCPCS Codes G0482 and G0483

Act
by Jun 4, 2026
Effective date
Jun 4, 2026
Identified
Aug 26, 2026

Summary

Effective 06/04/2026, HCPCS codes G0482 and G0483 (definitive drug testing with 15-21 and 22+ drug classes respectively) are no longer reimbursable and must be removed from billing. Codes G0480 and G0481 remain covered when medical necessity is documented. This change aligns with Clinical Policy CP.MP.50 on Drugs of Abuse testing.

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What to do

by Jun 4, 2026 · 7 steps
01Billing team must immediately update billing software and claim submission systems to deny or reject claims for HCPCS codes G0482 and G0483.
02Providers and clinical staff should be notified to cease ordering these specific drug testing codes.
03Update billing rules to automatically route any submitted G0482 or G0483 claims to compliance review before transmission.
04Ensure superbill templates and EHR order sets remove these codes as options.
05Document this change in billing procedures and staff training.
06After the effective date, any claims submitted with G0482 or G0483 will be denied by the payer.
07Contact your Provider Relations Representative for guidance on appropriate alternative testing codes or workflows.

Codes mentioned

G0482G0483G0480G0481

Original notice

Update for HCPCS Codes G0482 and G0483
ambetterhealth.com · Always check the source before changing claims.
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