MedicaidBilling CodesMedium impact
BT2024182: Updated coverage and billing information for the October 2024 quarterly HCPCS codes update
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pediatrics +3 more·Claims & Billing
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs has updated coverage and billing information for new HCPCS codes effective October 1, 2024. The update includes new vaccines, diagnostic tests, and other procedures with specific coverage determinations, billing requirements, and prior authorization criteria.
Action Required
Immediately: Billing team must update claim processing system with new October 2024 HCPCS codes and coverage determinations. Note that code 90684 (pneumococcal vaccine) is covered with lifetime limit for ages 18+ while most other new codes are non-covered. For retroactive claims, submit within 90 days for managed care or 180 days for fee-for-service, including copy of bulletin first page. Update fee schedules and code tables from IHCP provider website.