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BT202604: Procedure codes added to renal dialysis composite rate
Act
immediately
Effective date
Jan 8, 2026
Identified
Jun 18, 2026
Summary
Three HCPCS codes (J0605, J0609, J0911) for ESRD drugs are now included in the renal dialysis composite rate and cannot be billed separately for dialysis patients. This change is effective immediately and retroactive to the original CMS effective dates for each code.
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What to do
immediately · 3 steps
01Billing team must update workflows to stop billing codes J0605, J0609, and J0911 separately for ESRD dialysis patients - these are now bundled into the composite rate.
02Review and update billing software rules to prevent separate billing when these codes are used on the same date of service as renal dialysis composite-rate revenue codes.
03Monitor remittance advices starting Jan 14, 2026 for reprocessed claims with ICNs beginning with 52.
Codes mentioned
J0605J0609J0911
Original notice
BT202604: Procedure codes added to renal dialysis composite rate
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202670: IHCP removes certain procedure codes from the renal dialysis composite rateHighEffective May 7, 2026 · Claims & BillingBT2024211: Coverage and billing information for the 2025 annual HCPCS code updateHighEffective Jan 1, 2025 · Claims & BillingBT202520: Updated coverage and billing information for the 2025 annual HCPCS code updateHighEffective Jan 1, 2025 · Claims & BillingBT202497: Coverage information for the July 2024 quarterly HCPCS updateMediumEffective Jul 1, 2024 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list