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MedicaidBilling CodesMedium impact

BT202229: Manual pricing reimbursement information for select April 2022 quarterly HCPCS codes

Indiana Medicaid (IHCP)·IN · Endocrinology, Wound Care, Ophthalmology +1 more·Claims & Billing
Effective date
Apr 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid has established manual pricing for 6 new quarterly HCPCS codes effective April 1, 2022, including continuous glucose monitor supplies, compression devices, and contact lenses. Five of these codes (A4238, E2102, K1031, K1032, K1033) now require attachments for claims processing.

Action Required

Action needed
Immediately: Billing team must update Indiana Medicaid claims to include required attachments for codes A4238, E2102, K1031, K1032, and K1033 for dates of service on or after April 1, 2022. Update billing system to flag these codes for manual pricing verification. Review Professional Fee Schedule updates at in.gov/medicaid/providers for current reimbursement amounts.

Affected Billing Codes

A4238
E2102
K1031
K1032
K1033
V2525