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MedicaidAdministrativeMedium impact

BT202464: IHCP will reprocess or mass adjust claims for procedure code 90480

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pediatrics·Claims & Billing
Effective date
Jun 26, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP (Indiana Medicaid) identified a claim processing error that incorrectly denied COVID-19 vaccine administration claims (HCPCS 90480) with dates of service from September 11, 2023 onward. The system has been corrected and claims will be automatically mass adjusted or reprocessed starting June 26, 2024.

Action Required

Action needed
No action required by billing team - IHCP will automatically reprocess affected claims. Monitor remittance advices starting June 26, 2024 for adjusted payments with ICNs beginning with 52 or 80. Contact Customer Assistance at 800-457-4584 if you have questions about reprocessed claims.

Affected Billing Codes

90480