Back to dashboard
MedicaidBilling CodesMedium impact

BT202027: April 2020 quarterly HCPCS code updates announced

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

Summary

Indiana Medicaid (IHCP) has added new HCPCS codes effective April 1, 2020, including COVID-19 testing codes and several injectable medications. Most new codes are not covered, but key covered codes include COVID-19 tests (87635, U0001, U0002) and four injectable drugs (C9053, C9056, C9057, C9058).

Action Required

Action needed
Immediately: Billing team must update IHCP billing system to include new covered codes 87635 (COVID-19 test), U0001 and U0002 (COVID-19 lab tests), and injectable drugs C9053, C9056, C9057, C9058. Set up NDC requirements for injection codes C9053, C9056, C9057, C9058. Configure revenue code 636 linkage for C9053, C9056, C9058. Mark COVID-19 test codes as copay exempt. Do not bill noncovered codes 0014M through 0171U and G1012 through G2169 as they will be denied.

Affected Billing Codes

87635
C9053
C9056
C9057
C9058
G1012
G1013
G1014
G1015
G1016
G1017
G1018
G1019
G2168
G2169
U0001
U0002