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BT202659: IHCP adds diagnosis codes to the MCE Emergency Department Autopay List

Indiana Medicaid (IHCP)·IN · Emergency Medicine·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Days to comply
—

Summary

Indiana Health Coverage Programs (IHCP) added two new diagnosis codes to the managed care Emergency Department Autopay List: S1185XA (open bite of neck) and Z203 (rabies exposure). This change is effective retroactively for dates of service on or after July 1, 2025.

Action Required

Action needed
No immediate action required for billing team. If your practice treats patients with open neck bite injuries or rabies exposure and bills Indiana Medicaid managed care plans, be aware these diagnosis codes are now on the Emergency Department Autopay List. Contact the applicable managed care entity for any claim reprocessing questions related to these codes for dates of service on or after July 1, 2025.

Affected Billing Codes

S1185XA
Z203

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