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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · IN · Endocrinology, Family Medicine, Internal Medicine +1 moreHigh impact

BT202413: IHCP no longer covers DME codes A9276, A9277 and A9278

Act
immediately
Effective date
Sep 7, 2023
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) has discontinued coverage for DME codes A9276, A9277, and A9278 effective immediately, retroactive to September 7, 2023. These older continuous glucose monitor codes must be replaced with newer corresponding codes (A4238, A4239, E2102, E2103) for proper reimbursement.

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What to do

immediately · 5 steps
01Billing team must stop using discontinued DME codes A9276, A9277, and A9278 for all IHCP claims.
02Replace A9276 with A4238 or A4239, A9277 with A4238 or A4239, and A9278 with E2102 or E2103 based on device type.
03Update billing software rules and encounter forms.
04Review and resubmit any denied claims from September 7, 2023 forward using correct replacement codes.
05Claims using old codes will not be reimbursed.

Codes mentioned

A9276A9277A9278A4238A4239E2102E2103

Original notice

BT202413: IHCP no longer covers DME codes A9276, A9277 and A9278
in.gov · Always check the source before changing claims.
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