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BT202636: IHCP corrects claim processing for office visit procedure codes with family planning modifier FP
Act
by Sep 13, 2026
Effective date
Oct 1, 2024
Identified
Jun 18, 2026
Summary
IHCP corrected a system error that was incorrectly denying office visit E&M codes (99202-99205, 99211-99215) when billed with modifier FP for family planning services for dates of service October 1, 2024 and after. Claims will be automatically reprocessed starting April 15, 2026, or providers can resubmit with this bulletin attached.
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What to do
by Sep 13, 2026 · 3 steps
01Monitor remittance advices starting April 15, 2026 for automatic reprocessing with ICNs beginning with 52 or 80.
02For any missed claims, billing team can resubmit E&M codes 99202-99215 with modifier FP for family planning services from October 1, 2024 forward, attaching page 1 of this bulletin for claims beyond original filing limits.
03Ensure billing system allows modifier FP with these E&M codes for Family Planning Eligibility Program members.
Codes mentioned
992029920399204992059921199212992139921499215
Original notice
BT202636: IHCP corrects claim processing for office visit procedure codes with family planning modifier FP
in.gov · Always check the source before changing claims.
Related changes
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