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MedicaidBilling CodesMedium impact

BT202251: Coverage and billing information for the July 2022 quarterly HCPCS codes update

Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jul 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) has added new HCPCS codes effective July 1, 2022, including new COVID-19 vaccines, testing codes, and various medical procedures. Most new COVID-19 vaccine codes are marked as 'TBD' for coverage determination, while some diagnostic and immunization administration codes are covered.

Action Required

Action needed
By August 29, 2022 (90 days from publication): Billing team must update claim processing systems with new July 2022 HCPCS codes. Add covered codes 87913 and 0074A to billing software. Hold claims for codes 91308, 91310, 91311, 0081A, 0082A, 0111A, 0112A until coverage determination is finalized (marked as TBD). Include copy of bulletin first page when submitting claims beyond standard filing limits for these new codes.

Affected Billing Codes

87913
90584
91308
91310
91311