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MedicaidBilling CodesMedium impact

BT202421: HCPCS code A4239 added as allowable for DME

Indiana Medicaid (IHCP)·IN · Endocrinology·Claims & Billing
Effective date
Sep 7, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid has added HCPCS code A4239 for continuous glucose monitor supplies as an allowable code for DME providers (type 25, specialty 250) effective September 7, 2023. Claims can be submitted retroactively within special filing limits even if standard timely filing has passed.

Action Required

Action needed
By May 26, 2024 (90 days from publication for managed care) or August 24, 2024 (180 days for fee-for-service): DME providers enrolled as type 25, specialty 250 can submit claims for HCPCS code A4239 (CGM supplies) with dates of service on or after September 7, 2023. Include first page of bulletin BT202421 when submitting claims beyond standard filing limits. Update billing system to recognize A4239 as reimbursable for Indiana Medicaid DME claims.

Affected Billing Codes

A4239