When does this change take effect?

This change is effective Oct 1, 2025.

MedicaidBilling CodesMedium impact

BT2025171: Updated coverage information for the October 2025 quarterly HCPCS codes update

Q: Who is affected by this change?

This affects Indiana Medicaid (IHCP) Oncology, Nephrology, Infectious Disease, Neurology, Transplant Medicine providers in IN on Medicaid plans.

Indiana Medicaid (IHCP)·IN · Oncology, Nephrology, Infectious Disease +2 more·Claims & Billing

Effective date

Oct 1, 2025

We identified it

Jun 18, 2026

Days to comply

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Summary

Indiana Health Coverage Programs (IHCP) has updated their coverage determination for the October 2025 quarterly HCPCS codes update. This bulletin replaces the original annual update and provides detailed tables showing new CPT/HCPCS codes, their coverage status, prior authorization requirements, and billing information effective October 1, 2025.

Action Required

Action needed

Immediately: Billing team must review the complete bulletin BT2025171 and update claim processing systems with the new October 2025 quarterly HCPCS codes. Download updated fee schedules, code tables, and billing guidance from the IHCP provider website at in.gov/medicaid/providers. Note that most new codes listed are marked as 'Noncovered' by IHCP. Update billing software to reflect coverage determinations and any new prior authorization requirements detailed in the bulletin's tables.

Related policy hubs

Indiana Medicaid (IHCP) policies IN policy changes Oncology Nephrology Infectious Disease Neurology Transplant Medicine