Back to dashboard
MedicaidCoverageMedium impact

BT202462: Additional updates made to the 2024 annual HCPCS codes

Indiana Medicaid (IHCP)·IN · Psychiatry·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) has reversed coverage for HCPCS code G0137 (intensive outpatient services weekly bundle), making it non-covered retroactive to January 1, 2024. Previously paid claims will be automatically reprocessed and payments recouped.

Action Required

Action needed
Immediately: Stop billing HCPCS code G0137 for intensive outpatient services for Indiana Medicaid patients with dates of service on or after January 1, 2024. Update billing system to prevent submission of this code for IHCP. Monitor for automatic recoupment of previously paid claims and adjust accounts receivable accordingly.

Affected Billing Codes

G0137