← Back to list
BT2025184: Additional biomarker testing codes covered for DOS on or after Jan. 12, 2026
Effective date
Jan 12, 2026
Identified
Jun 18, 2026
Summary
Indiana Health Coverage Programs (IHCP) is adding coverage for three new biomarker testing codes effective January 12, 2026. All three new codes (0493U, 81459, 81463) require prior authorization and are covered under Traditional Medicaid and full Indiana Medicaid State Plan benefits.
Get alerts when payers change rules like this one
We check Indiana Medicaid (IHCP) and other payers every day and email you when a change matches your specialty and state.
Get Indiana Medicaid (IHCP) alertsPolicy Monitoring is free. No card required.
What to do
Action · 5 steps
01Before January 12, 2026: Billing team must update systems to recognize new covered biomarker testing codes 0493U, 81459, and 81463 for Indiana Medicaid patients.
02Configure prior authorization requirements for all three codes.
03Update encounter forms to remind providers that PA is required.
04For FFS claims, contact Acentra Health at 866-725-9991 for PA questions.
05For managed care, contact the specific MCE.
Codes mentioned
8145981463
Original notice
BT2025184: Additional biomarker testing codes covered for DOS on or after Jan. 12, 2026
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2026137: IHCP announces coverage of additional biomarker testing codesMediumEffective Jul 1, 2026 · Coverage PolicyBT2024126: IHCP announces expanded coverage of biomarker testingHighEffective Jul 1, 2024 · Medical PolicyBT2024185: IHCP announces coverage of additional biomarker testing codesMediumEffective Nov 1, 2024 · Medical PolicyBT202578: IHCP announces coverage of additional biomarker testing codesMediumEffective May 1, 2025 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list