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MedicaidBilling CodesMedium impact

BT2023119: IHCP updates FQHC and RHC encounter codes

Indiana Medicaid (IHCP)·IN · Pulmonology, Urology, Ophthalmology +2 more·Provider Bulletin
Effective date
Oct 21, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) is adding 9 new procedure codes as valid FQHC and RHC encounter codes (effective retroactively to Jan 1, 2023) and removing 16 previously valid codes. Claims for the new codes can be submitted starting Oct 21, 2023, and previously denied claims can be resubmitted.

Action Required

Action needed
By October 21, 2023: FQHC and RHC billing teams must update billing systems to include the 9 newly valid encounter codes (15853, 15854, 92066, C7509, C7510, C7511, C7512, C7550, C7554, D7509, D9953) for dates of service on or after January 1, 2023. Remove the 16 deleted codes from valid encounter code lists. Resubmit previously denied claims for the new codes with dates of service after Jan 1, 2023, including a copy of this bulletin if filing beyond the original 180-day limit.

Affected Billing Codes

15853
15854
92066
C7509
C7510
C7511
C7512
C7550
C7554
D7509
D9953
99224
99225
99226
99318
99324
99325
99326
99327
99328
99334
99335
99336
99337
99343
99354
99355
99356
99357