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MedicaidBilling CodesMedium impact

BT2025141: IHCP announces annual update of ICD-10 codes, effective Oct. 1, 2025

Indiana Medicaid (IHCP)·IN · Emergency Medicine, Nephrology, Gastroenterology +2 more·Claims & Billing
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) announces the annual ICD-10 code update effective October 1, 2025, including new diagnosis codes for kidney conditions, pain syndromes, and adverse food reactions. Additionally, 23 new ICD-10 codes are being added to the Emergency Department Autopay List for managed care entities.

Action Required

Action needed
By October 1, 2025: Billing team must update coding systems and EMR to include the new ICD-10 diagnosis codes for nephritis, pelvic/abdominal pain, cannabis hyperemesis, food reactions, and foreign body injuries. Review CMS website for complete list of new, revised, and discontinued ICD-10 codes. Ensure managed care claims using the new Emergency Department Autopay List codes are processed correctly.

Affected Billing Codes

N00B1
N00B2
R1020
R1021
R1022
R1023
R1024
R1085
R108A1
R108A2
R108A3
R108A9
R10A0
R10A1
R10A2
R10A3
R1116
T78110A
T78111A
T78119A
T78120A
T78121A
T78129A
T7819XA
W44H9XA
W44H9XS
W453XXA