← Back to list
Update for CPT Codes 80320-80377: Effective 10/1/2026
Effective date
Oct 1, 2026
Identified
Oct 15, 2026
Summary
Effective October 1, 2026, CPT codes 80320-80377 (Definitive Drug Testing Procedures) will no longer be reimbursable. Providers must transition to billing appropriate G-series bundled laboratory codes instead. This is a historical discovery of a policy that became effective on the analysis date.
Get alerts when payers change rules like this one
We check Ambetter and other payers every day and email you when a change matches your specialty and state.
Get Ambetter alertsPolicy Monitoring is free. No card required.
What to do
Action · 3 steps
01As of October 1, 2026, CPT codes 80320-80377 are no longer reimbursable and this change is now effective.
02Verify whether the practice has already implemented the transition to G-series bundled laboratory codes in the billing system and confirm current claim submission procedures.
03Billing team should audit recent claims (on or after 10/1/2026) submitted under these codes and contact Provider Relations Representative at Ambetter Health to clarify coverage status, identify appropriate G-series replacement codes, and address any claims that may require correction or resubmission.
Codes mentioned
80320803218032280323803248032580326803278032880329803308033180332803338033480335803368033780338803398034080341803428034380344803458034680347803488034980350803518035280353803548035580356803578035880359803608036180362803638036480365803668036780368803698037080371803728037380374803758037680377
Original notice
Update for CPT Codes 80320-80377: Effective 10/1/2026
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 · CodingAmbetter Health Billing Code Update for CPT Codes 80320-80377 Effective 10/01/2026HighEffective 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
Ambetter policiesKY policy changesPathologyCode 80320Code 80321Code 80322Code 80323Code 80324Code 80325Code 80326Code 80327Code 80328Code 80329Code 80330Code 80331Code 80332Code 80333Code 80334Code 80335Code 80336Code 80337Code 80338Code 80339Code 80340Code 80341Code 80342Code 80343Code 80344Code 80345Code 80346Code 80347Code 80348Code 80349Code 80350Code 80351Code 80352Code 80353Code 80354Code 80355Code 80356Code 80357Code 80358Code 80359Code 80360Code 80361Code 80362Code 80363Code 80364Code 80365Code 80366Code 80367Code 80368Code 80369Code 80370Code 80371Code 80372Code 80373Code 80374Code 80375Code 80376Code 80377