MedicaidBilling CodesMedium impact
BT2025188: Coverage and billing information for the 2026 annual HCPCS code update
Indiana Medicaid (IHCP)·IN · Orthopedics, Vascular Surgery, Cardiothoracic Surgery·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Indiana Health Coverage Programs (IHCP) has released new HCPCS codes effective January 1, 2026, including many orthopedic and vascular surgery procedures. The billing team must wait for pricing implementation before submitting claims with these new codes to avoid denials.
Action Required
By January 1, 2026: Update billing system with new HCPCS codes listed in the policy. Wait for IHCP's pricing implementation announcement before submitting claims using these new codes - claims submitted before pricing is entered may be denied and require reprocessing. Monitor IHCP Fee Schedules webpage at in.gov/medicaid/providers for pricing updates.