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BT202578: IHCP announces coverage of additional biomarker testing codes
Act
immediately
Effective date
May 1, 2025
Identified
Jun 18, 2026
Summary
IHCP (Indiana Medicaid) has expanded coverage to include 5 additional biomarker testing codes for cancer diagnosis and monitoring, all requiring prior authorization. These codes are now covered retroactively for dates of service on or after May 1, 2025.
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What to do
immediately · 4 steps
01Billing team must update systems to bill newly covered biomarker testing codes 0239U, 81195, 81541, 0329U, and 81462 for Indiana Medicaid patients with dates of service on or after May 1, 2025.
02Configure billing software to require prior authorization for all 5 codes.
03Update encounter forms to remind providers that PA is mandatory.
04Submit retroactive claims for eligible services since May 1, 2025.
Codes mentioned
811958154181462
Original notice
BT202578: IHCP announces coverage of additional biomarker testing codes
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 PolicyBT2025184: Additional biomarker testing codes covered for DOS on or after Jan. 12, 2026MediumEffective Jan 12, 2026 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list