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MedicaidReimbursementMedium impact

BT202061: IHCP COVID-19 Response: Additional COVID-19-related HCPCS and reimbursement updates made

Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Mar 1, 2020
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP added new COVID-19 specimen collection code C9803 ($14.17 maximum) effective March 1, 2020, and updated reimbursement rates for COVID-19 testing code 87635 ($51.31) and telephone E&M codes 99441-99443 ($32.30-$78.04). Providers can void and resubmit previous claims for the updated rates, even beyond the 180-day filing limit if they attach this bulletin.

Action Required

Action needed
Immediately: Billing team must update fee schedules with new reimbursement rates - C9803 at $14.17 maximum, 87635 at $51.31, and telephone E&M codes 99441 ($32.30), 99442 ($53.64), 99443 ($78.04). Link C9803 to revenue code 300 for outpatient claims only. Consider voiding and resubmitting previous claims for codes 87635, 99441, 99442, or 99443 to obtain higher rates - attach this bulletin for claims beyond 180-day filing limit.

Affected Billing Codes

C9803
87635
99441
99442
99443