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BT2026181: IHCP removes certain FQHC and RHC procedure codes as valid encounter codes
Effective date
Jan 1, 2026
Identified
Oct 28, 2026
Summary
Indiana Health Coverage Programs (IHCP) is removing two procedure codes (D1352 and D9248) as valid encounter codes for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). This change is effective for dates of service on or after January 1, 2026, and will not affect claim processing since these codes were nationally deleted on December 31, 2025.
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What to do
Action · 3 steps
01Already effective as of January 1, 2026: Verify that the practice's billing system no longer processes D1352 (Preventive resin restoration in a moderate to high caries risk patient – permanent tooth) and D9248 (Non-intravenous conscious sedation) as valid encounter codes for FQHC and RHC claims submitted to IHCP.
02If the practice operates as an FQHC or RHC in Indiana, confirm current applicability with your billing system vendor and IHCP.
03For questions, contact Myers and Stauffer at 317-846-9521.
Codes mentioned
D1352D9248
Original notice
BT2026181: IHCP removes certain FQHC and RHC procedure codes as valid encounter codes
in.gov · Always check the source before changing claims.
Related changes
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