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

Indiana Medicaid (IHCP)·IN · Endocrinology, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Sep 7, 2023
We identified it
Jun 19, 2026
Days to comply

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.

Action Required

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

Affected Billing Codes

A9276
A9277
A9278
A4238
A4239
E2102
E2103