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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · IN · Ophthalmology, Cardiology, Dentistry +3 moreMedium impact

BT202487: IHCP updates FQHC and RHC encounter codes

Act
by Dec 17, 2024
Effective date
Jul 22, 2024
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) is adding 11 new CPT/HCPCS codes as valid encounter codes for FQHC and RHC providers, effective July 22, 2024, but applying retroactively to claims with dates of service from January 1, 2024. Previously denied claims for these codes can be resubmitted within 180 days of the bulletin publication date.

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What to do

by Dec 17, 2024 · 3 steps
01FQHC and RHC billing teams must update billing systems to accept the 16 newly approved encounter codes for claims with dates of service from January 1, 2024 forward.
02Resubmit any previously denied claims for these codes with dates of service on or after January 1, 2024, attaching a copy of this bulletin if filing beyond the original 180-day limit.
03Claims must be resubmitted within 180 days of the June 20, 2024 publication date.

Codes mentioned

67516933039330493306933209332596380D1301D2976D6089D7284D9954G0011G0013G0017G0018

Original notice

BT202487: IHCP updates FQHC and RHC encounter codes
in.gov · Always check the source before changing claims.
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