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MedicaidBilling CodesMedium impact

BT2023123: Coverage and billing information for the 2023 October HCPCS codes update

Indiana Medicaid (IHCP)·IN · Oncology, Infectious Disease, Cardiology +5 more·Claims & Billing
Effective date
Oct 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) is adding new HCPCS codes effective October 1, 2023, including COVID-19 vaccines, diagnostic tests, and oncology procedures. Coverage determinations and prior authorization requirements are still being determined (marked as TBD) with final pricing information pending CMS fee schedules.

Action Required

Action needed
Monitor IHCP bulletins for upcoming coverage and pricing updates for new October 2023 HCPCS codes. Billing team should prepare to update claim processing system once final coverage determinations and prior authorization requirements are published. Contact Gainwell Technologies at 800-457-4584 for fee-for-service billing questions and Kepro at 866-725-9991 for prior authorization questions.

Affected Billing Codes

90480
91318
91319
91320
91321
91322