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BT202425: Revised coverage and billing information for the 2024 annual HCPCS codes update

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

Summary

Indiana Medicaid released their 2024 annual HCPCS code updates with 24 new covered procedure codes (including phrenic nerve stimulators, uterine fibroid destruction, and various surgical procedures) and several non-covered codes. Multiple codes require prior authorization and the policy includes special billing guidelines for different service types.

Action Required

Action needed
By June 8, 2024: Billing team must update claim processing system to include all new 2024 HCPCS codes effective January 1, 2024. Configure prior authorization requirements for codes 33276, 33277, and 52284. Update fee schedules and verify coverage status for all new codes - mark spine tethering codes (22836-22838) and nasal nerve destruction codes (31242-31243) as non-covered. Review managed care vs fee-for-service billing differences. Include copy of bulletin first page when submitting claims beyond standard filing limits (90 days managed care, 180 days FFS).

Affected Billing Codes

22836
22837
22838
27278
31242
31243
33276
33277
33278
33279
33280
33281
33287
33288
52284
58580
61889
61891
61892
64596
64597
64598
67516
75580
76984
76987
76988
76989
81457
81458
81459
81462