When does this change take effect?

This change is effective Jul 1, 2024.

Which billing codes are affected?

The following codes are affected: 90637, 90638.

MedicaidCoverageMedium impact

BT202497: Coverage information for the July 2024 quarterly HCPCS update

Q: Who is affected by this change?

This affects Indiana Medicaid (IHCP) Oncology, Infectious Disease, Urology, Gastroenterology, Cardiology, Rheumatology +4 more providers in IN on Medicaid plans.

Indiana Medicaid (IHCP)·IN · Oncology, Infectious Disease, Urology +7 more·Claims & Billing

Effective date

Jul 1, 2024

We identified it

Jun 19, 2026

Days to comply

—

Summary

Indiana Health Coverage Programs has updated coverage for new HCPCS codes from the July 2024 quarterly update. All new codes listed (including mRNA flu vaccines, various cancer screening tests, and diagnostic procedures) are designated as non-covered under IHCP programs.

Action Required

Action needed

Immediately: Billing team must update system to mark all listed HCPCS codes as non-covered for Indiana Medicaid plans effective July 1, 2024. Do not submit claims for these services to IHCP as they will be denied. Update encounter forms and billing software to prevent inadvertent billing of these non-covered codes.

Affected Billing Codes

90637

90638

Related policy hubs

Indiana Medicaid (IHCP) policies IN policy changes Oncology Infectious Disease Urology Gastroenterology Cardiology Rheumatology Neurology OB-GYN Family Medicine Internal Medicine Code 90637 Code 90638