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BT2026148: IHCP corrects pricing method for certain procedure codes
Effective date
Not stated in the notice
Identified
Sep 4, 2026
Summary
The IHCP corrected the pricing method for the procedure codes in Table 1, which was inadvertently changed in the fee-for-service claim-processing system for claims adjudicated between April 1, 2026 and July 7, 2026. The claim-processing system has been updated to the correct pricing method for each listed code. Codes priced as SYSMAN are manually priced, and codes priced as BILL90 are reimbursed at 90% of the amount billed on the claim.
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What to do
Action · 4 steps
01Within 180 days from the date of this publication (September 3, 2026): Billing team: submit or resubmit FFS professional claims for the Table 1 codes to the IHCP to satisfy timely filing requirements.
02Include a copy of this bulletin (first page only) when submitting claims beyond the standard filing limit.
03For SYSMAN (manually priced) codes, attach the appropriate pricing documentation listed on the Procedure Codes That Require Attachments table at in.gov/medicaid/providers.
04BILL90 codes do not need that documentation.
Codes mentioned
C1721C1722C1749C1777C1779C1780C1785C1786C1882C1895C1896C1898C1899C1900C1982C2596C2613C2621C7500C7501C7502C7503C7504C7505C7506C7509C7510C7511C7512C7513C7514C7515C7516C7518C7519C7521C7522C7523C7524C7525C7526C7527C7528C7529C7530C7531C7532C7533C7534C7535C7537C7538C7539C7540C7541C7542C7543C7544C7545C7546C7547C7548C7549C7550C7551C7552C7553C7554C7555C8929C8930C9757G0186G0282G0293G0294G0330L8699Q2004
Original notice
BT2026148: IHCP corrects pricing method for certain procedure codes
in.gov · Always check the source before changing claims.
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Related policy hubs
Indiana Medicaid (IHCP) policiesIN policy changesCardiologyPulmonologyGastroenterologyNephrologyUrologyOphthalmologyNeurosurgeryOrthopedicsGeneral SurgeryWound CareDentistryRadiologyENT (Ear, Nose & Throat)Code C1721Code C1722Code C1749Code C1777Code C1779Code C1780Code C1785Code C1786Code C1882Code C1895Code C1896Code C1898Code C1899Code C1900Code C1982Code C2596Code C2613Code C2621Code C7500Code C7501Code C7502Code C7503Code C7504Code C7505Code C7506Code C7509Code C7510Code C7511Code C7512Code C7513Code C7514Code C7515Code C7516Code C7518Code C7519Code C7521Code C7522Code C7523Code C7524Code C7525Code C7526Code C7527Code C7528Code C7529Code C7530Code C7531Code C7532Code C7533Code C7534Code C7535Code C7537Code C7538Code C7539Code C7540Code C7541Code C7542Code C7543Code C7544Code C7545Code C7546Code C7547Code C7548Code C7549Code C7550Code C7551Code C7552Code C7553Code C7554Code C7555Code C8929Code C8930Code C9757Code G0186Code G0282Code G0293Code G0294Code G0330Code L8699Code Q2004