MedicaidCoverageMedium impact
BT2021102: IHCP adds coverage for COVID-19 laboratory service codes 0240U and 0241U
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pediatrics +1 more·Medical Policy
Effective date
Dec 24, 2021
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) will begin covering two new COVID-19 laboratory test codes 0240U and 0241U effective December 24, 2021, with a maximum reimbursement of $142.63 per test. These tests detect multiple respiratory pathogens including COVID-19, influenza A/B, and RSV, require no prior authorization, and are copay exempt for all members.
Action Required
By December 24, 2021: Billing team must update billing system to include new CPT codes 0240U and 0241U for COVID-19 laboratory services with maximum fee of $142.63. Configure system to bypass prior authorization requirements and copay collection for these codes. Update encounter forms and notify laboratory staff of new covered services for Indiana Medicaid patients.