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MedicaidBilling CodesMedium impact

BT202204: IHCP COVID-19 Response: IHCP updates procedure code for remdesivir administration

Indiana Medicaid (IHCP)·IN · Infectious Disease, Emergency Medicine, Critical Care +1 more·Claims & Billing
Effective date
Dec 23, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP (Indiana Medicaid) is changing the billing code for remdesivir administration from J3490 to the new specific code J0248. This change is effective immediately for outpatient remdesivir treatments, with a maximum reimbursement of $5.46 per mg.

Action Required

Action needed
Immediately: Billing team must stop using code J3490 for remdesivir and switch to J0248 for all outpatient remdesivir administration. Update billing system to require NDC code entry with J0248. Use revenue code 636 for outpatient pharmacy billing when appropriate. Maximum reimbursement is $5.46 per mg.

Affected Billing Codes

J3490
J0248