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MedicaidBilling CodesMedium impact

BT202487: IHCP updates FQHC and RHC encounter codes

Indiana Medicaid (IHCP)·IN · Ophthalmology, Cardiology, Dentistry +3 more·Provider Bulletin
Effective date
Jul 22, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) is adding 11 new CPT/HCPCS codes as valid encounter codes for FQHC and RHC providers, effective July 22, 2024, but applying retroactively to claims with dates of service from January 1, 2024. Previously denied claims for these codes can be resubmitted within 180 days of the bulletin publication date.

Action Required

Action needed
By December 17, 2024: FQHC and RHC billing teams must update billing systems to accept the 16 newly approved encounter codes for claims with dates of service from January 1, 2024 forward. Resubmit any previously denied claims for these codes with dates of service on or after January 1, 2024, attaching a copy of this bulletin if filing beyond the original 180-day limit. Claims must be resubmitted within 180 days of the June 20, 2024 publication date.

Affected Billing Codes

67516
93303
93304
93306
93320
93325
96380
D1301
D2976
D6089
D7284
D9954
G0011
G0013
G0017
G0018