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BT2024185: IHCP announces coverage of additional biomarker testing codes
Act
immediately
Effective date
Nov 1, 2024
Identified
Jun 19, 2026
Summary
IHCP (Indiana Health Coverage Programs) has added coverage for 5 additional biomarker testing codes effective retroactively from November 1, 2024. All codes require prior authorization and are covered under both managed care and fee-for-service delivery systems.
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What to do
immediately · 4 steps
01Billing team must update system to recognize newly covered biomarker testing codes 81422, 81450, 0345U, 0411U, and 0340U as covered services for Indiana Medicaid patients with dates of service on or after November 1, 2024.
02Configure system to require prior authorization for all these codes.
03Update encounter forms to remind providers that PA is required.
04Contact appropriate entities for prior auth: Acentra Health (866-725-9991) for fee-for-service or the specific MCE for managed care patients.
Codes mentioned
8142281450
Original notice
BT2024185: 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 PolicyBT202578: IHCP announces coverage of additional biomarker testing codesMediumEffective May 1, 2025 · 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