MedicaidCoverageMedium impact
BT202599: Coverage and billing information for the July 2025 quarterly HCPCS update
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pediatrics +3 more·Claims & Billing
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Summary
Indiana Health Coverage Programs (IHCP) has updated coverage for the July 2025 quarterly HCPCS codes, with multiple new procedure codes being designated as noncovered and two codes (0240U and 0241U) being discontinued. All changes are effective for dates of service on or after July 1, 2025.
Action Required
By July 1, 2025: Billing team must update system to mark specified procedure codes as noncovered for Indiana Medicaid claims. Remove discontinued codes 0240U and 0241U from billing system. Verify fee schedules are updated at in.gov/medicaid/providers. Claims submitted with noncovered codes will be denied.