MedicaidBilling CodesLow impact
BT202063: IHCP provides billing guidance to EMS provider agencies for naloxone administration
Indiana Medicaid (IHCP)·IN · Emergency Medicine·Claims & Billing
Effective date
Jul 1, 2020
We identified it
Jun 19, 2026
Summary
Effective July 1, 2020, Indiana Medicaid (IHCP) will reimburse EMS providers for naloxone administration using specific billing codes and documentation requirements. EMS providers must record NDCs, dosage amounts, and use designated HCPCS codes with specific modifiers for different naloxone forms.
Action Required
EMS providers only: Update billing systems to use J3490 for nasal spray naloxone, J2310 for liquid naloxone, and 96372 with U1/U2 modifiers for administration. Document NDCs in 5-4-2 format and record exact dosage amounts. Non-EMS providers are not affected by this policy.