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MedicaidBilling CodesMedium impact

BT2023182: Coverage and billing information for the 2024 annual HCPCS codes update

Indiana Medicaid (IHCP)·IN · Orthopedics, Neurosurgery, Cardiology +5 more·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid released the 2024 annual HCPCS/CPT code updates adding new covered and non-covered codes effective January 1, 2024. Several new codes require prior authorization including phrenic nerve stimulators (33276, 33277) and drug-coated balloon procedures (52284). Note: This bulletin was replaced by BT202425.

Action Required

Action needed
By February 26, 2024 (managed care) or May 26, 2024 (fee-for-service): Billing team must update systems to include new 2024 HCPCS codes and configure prior authorization requirements for codes 33276, 33277, 52284, and J0576. Mark spine tethering codes (22836-22838) and nasal nerve destruction codes (31242-31243) as non-covered. Include copy of first page of bulletin when submitting claims beyond standard filing limits. Contact Kepro at 866-725-9991 for FFS prior auth questions.

Affected Billing Codes

22836
22837
22838
27278
31242
31243
33276
33277
33278
33279
33280
33281
33287
33288
52284
58580
61889
61891
61892
64596
64597
64598
67516
75580
76984
76987
76988
76989
81457
81458
81459
81462
J0576