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BT202537: IHCP removes coverage for certain COVID-19 treatment procedure codes
Act
immediately
Effective date
Dec 13, 2024
Identified
Jun 19, 2026
Summary
IHCP (Indiana Health Coverage Programs) has removed coverage for 10 COVID-19 antibody treatment procedure codes effective December 13, 2024, following FDA revocation of Emergency Use Authorization. Claims with these codes will be recouped if already paid.
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What to do
immediately · 3 steps
01Billing team must stop submitting claims for the 10 COVID-19 antibody treatment codes (M0220, M0221, M0240, M0241, M0243, M0244, Q0220, Q0221, Q0240, Q0243, Q0244) for Indiana Medicaid patients with dates of service on or after December 13, 2024.
02Update billing system to flag these codes as non-covered.
03Review remittance advices starting April 16, 2025 for reprocessed claims with ICNs beginning with 52 or 80, as previously paid claims will be recouped.
Codes mentioned
M0220M0221M0240M0241M0243M0244Q0220Q0221Q0240Q0243Q0244
Original notice
BT202537: IHCP removes coverage for certain COVID-19 treatment procedure codes
in.gov · Always check the source before changing claims.
Related changes
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