MedicaidBilling CodesMedium impact
BT2025139: Coverage and billing information for the October 2025 quarterly HCPCS codes update
Indiana Medicaid (IHCP)·IN · Oncology, Nephrology, Neurology +1 more·Claims & Billing
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Summary
Indiana Medicaid has updated HCPCS codes for October 2025, adding new procedure codes (mostly noncovered diagnostic tests) and reactivating buprenorphine implant code J0570. Pricing and final billing guidelines are pending CMS fee schedule release.
Action Required
By October 1, 2025: Update billing system to include new HCPCS codes 0575U-0592U (all marked as noncovered for Indiana Medicaid). Reactivate code J0570 for buprenorphine implant coverage. Monitor IHCP website for upcoming pricing publication and additional billing requirements including NDC requirements and prior authorization criteria.