Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · IN · Family Medicine, Internal Medicine, General Practice +2 moreMedium impact

BT202593: IHCP updates FQHC and RHC encounter codes

Act
by Jul 28, 2025
Effective date
Jul 28, 2025
Identified
Jun 18, 2026

Summary

Indiana Medicaid (IHCP) is adding 10 new procedure codes as valid encounter codes for FQHC and RHC claims, including retinal imaging, genetic counseling, and telehealth visits. The policy also removes 12 nationally deleted codes from the valid encounter list, with both changes applying retroactively to January 1, 2025.

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

by Jul 28, 2025 · 4 steps
01FQHC and RHC billing teams must update billing systems to include the 10 new valid encounter codes (92137, 96041, 98000-98009, 98012-98013) for claims with dates of service January 1, 2025 and after.
02Remove the 12 deleted codes from billing systems.
03All claims must include T1015 or D9999 encounter code and meet FQHC/RHC billing requirements.
04Resubmit previously denied claims for these codes within 180 days, attaching first page of bulletin for claims beyond original filing limit.

Codes mentioned

9213796041980009800198002980039800498005980069800798008980099801298013T1015D9999D7259D2941

Original notice

BT202593: IHCP updates FQHC and RHC encounter codes
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2024211: 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 & BillingBT202592: IHCP updates CCBHC encounter codesMediumEffective Jul 28, 2025 · Specialty ServicesBT202641: IHCP corrects telehealth E/M FFS claim processing for established patient codesMediumEffective Jan 1, 2025 · TelehealthBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesFamily MedicineInternal MedicineGeneral PracticeOphthalmologyDentistryCode 92137Code 96041Code 98000Code 98001Code 98002Code 98003Code 98004Code 98005Code 98006Code 98007Code 98008Code 98009Code 98012Code 98013Code T1015Code D9999Code D7259Code D2941

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account