MedicaidReimbursementLow impact
BT202457: IHCP corrects procedure code 0398T for professional claims, effective Jan. 1, 2024
Indiana Medicaid (IHCP)·IN · Neurosurgery, Radiology·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) corrected a significant pricing error for procedure code 0398T (Destruction of tissue of brain using MRI guidance), reducing the professional rate from $17,500.50 to $1,349.13. The correction is effective retroactively to January 1, 2024, but no claims were affected as none were submitted during this period.
Action Required
Immediately: Billing team should verify that procedure code 0398T is set to the correct rate of $1,349.13 in billing systems for Indiana Medicaid patients. Update fee schedules and verify any future claims for this brain tissue destruction procedure use the corrected rate.