MedicaidBilling CodesMedium impact
BT2024154: 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 (IHCP) has updated HCPCS codes for October 2024, adding new procedure codes including vaccines, laboratory tests, and oncology procedures. Most new laboratory and diagnostic codes are marked as non-covered, while some vaccines have specific coverage criteria and age restrictions.
Action Required
By October 31, 2024: Billing team must update claim processing system with new HCPCS codes effective October 1, 2024. Add code 90684 (pneumococcal vaccine) with restrictions for age 18+ and once-per-lifetime billing. Mark laboratory codes 0476U-0488U as non-covered. Monitor IHCP website for upcoming fee schedule updates and coverage determinations. Include copy of bulletin first page when submitting claims beyond standard filing limits.