Pre-Authorization Requirement Updates for G0480 and G0481 codes

Date: 01/26/24

Heritage Health (Medicaid):

Effective January 1, 2024, Nebraska Total Care is updating the requirements for prior authorization for the following procedure codes: G0480 Definitive Urinary Drug Testing 1-7 classes and G0481 Definitive Urinary Drug Testing 8-14 classes.

Nebraska Total Care will no longer require a prior authorization for all providers for procedure code G0480 and no longer require a prior authorization for hospital providers for procedure code G0481.This pre-authorization requirement will be reflected in our pre-authorization check tool to verify authorization is needed.

If you have questions, please contact Provider Relations.