MedicaidBilling CodesHigh impact
BT202309: FSSA announces changes to LARC device billing for FQHC and RHC providers
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, OB-GYN +1 more·Claims & Billing
Effective date
Nov 1, 2022
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will separately reimburse FQHCs and RHCs for LARC (long-acting reversible contraceptive) devices, carving them out of the PPS rate. Providers must bill LARC devices on separate claims using specific HCPCS codes and cannot include them with T1015 encounter codes.
Action Required
Immediately for claims with dates of service on or after Nov 1, 2022: Billing team must separate LARC device billing from encounter visits. Bill LARC devices using codes J7296, J7297, J7298, J7300, J7301, J7306, or J7307 on separate claims. Do not include T1015 codes with LARC devices. Update billing system to prevent combining these codes. Claims with T1015 and LARC codes together will be denied and wrap payments recouped after CMS approval.