MedicaidAdministrativeMedium impact
BT2020125: 2021 annual HCPCS update delayed
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Feb 1, 2021
We identified it
Jun 19, 2026
Summary
The Indiana Health Coverage Programs (IHCP) has delayed the 2021 annual HCPCS and CPT code updates due to delays from CMS. Coverage, prior authorization, and reimbursement information for new codes will not be available by January 1, 2021, but will be published by February 1, 2021, with COVID-19 related codes prioritized.
Action Required
By February 1, 2021: Monitor IHCP publications for updated coverage, prior authorization, and reimbursement information for new 2021 HCPCS and CPT codes. Subscribe to IHCP email notifications at in.gov/medicaid/providers. Hold claims with new 2021 codes until coverage determinations are published, as approved codes will be retroactively covered to their national effective date.