Changes for 2015 Laboratory Codes 80300 – 80377

Effective 3/1/2015, Idaho Medicaid will not cover the new 2015 laboratory codes 80300 through 80377 (63 codes) until Medicare pricing is available. For claims billed for dates of service prior to 3/1/2105, and using CPT® codes 80300 – 80377, an invoice is required to be attached. This is to enable pricing for the new CPT codes which do not currently have a price on file. CMS has created a series of G-codes with pricing that may be used in place of the 80300 – 80377 CPT codes effective 1/1/2015. For dates of service 3/1/2015 and after, Idaho will require providers to use the appropriate HCPCS code within the G-code series. An invoice is needed only if no price is listed on the Numerical Fee Schedule.

Source: https://www.idmedicaid.com/MedicAide Newsletters/March 2015 MedicAide.pdf