Discontinuance of HCPCS Bundle Code 80050: Effective 12/01/2025

Date: 09/05/25

WellCare of North Carolina will cover procedure codes 85003 (Comprehensive Metabolic Panel), 85025 & 85027 (Complete Blood Count), and 84443 (Thyroid Stimulating Hormone) individually and discontinue their coverage under bundled code HCPCS 80050 beginning on 12/01/2025.

The Centers for Medicare & Medicaid Services previously removed 80050 from the Medicare Clinical Lab Fee schedule, citing an overuse of the bundled code when not all services were being performed. WellCare of North Carolina will adopt this policy and cover the codes below only when submitted individually.

Submissions of HCPCS bundled code 80050 will receive an automatic denial with explanation code 46 and treatment type NC after 11/30/2025.

For additional assistance or questions, please contact your provider support team.

Thank you for your partnership and commitment to improving the health of our communities, one person at a time.