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MedicaidCoverageMedium impact

BT202437: Coverage information for the April 2024 quarterly HCPCS update

Indiana Medicaid (IHCP)·IN · Cardiology, Oncology, Neurology +6 more·Claims & Billing
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) has updated coverage determinations for new HCPCS codes from the April 2024 quarterly update, effective April 1, 2024. Most new codes (31 out of 35) are marked as noncovered, including all genetic testing codes, while some injections and medical devices received coverage approval.

Action Required

Action needed
Immediately: Billing teams must update their systems with the new HCPCS code coverage determinations for Indiana Medicaid claims with dates of service on or after April 1, 2024. Flag the 31 noncovered codes (including all genetic testing codes 0439U-0449U) to prevent claim submissions that will be denied. Update billing software to accept the 4 newly covered codes (A2026, A4438, A4564, C9166, C9167, C9168, C9796, C9797, E0152, E0468, G0138, J0177, J0577, J0578, J0650, J0651, J1010, J1202, J1203, J1323, J2277, J2782). Note that this bulletin has been superseded by BT202467 - review the updated bulletin for any changes.

Affected Billing Codes

A2026
A4271
A4438
A4564
A4593
A4594
A9293
C9166
C9167
C9168
C9796
C9797
E0152
E0468
E0736
E0738
E0739
E2104
E2298
G0138
H0051
J0177
J0209
J0577
J0578
J0589
J0650
J0651
J0652
J1010
J1202
J1203
J1323
J1434
J2277
J2782