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BT2023138: IHCP will reprocess or mass adjust claims for select continuous glucose monitor procedure codes
Effective date
Nov 22, 2023
Identified
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) identified claim processing errors for continuous glucose monitor (CGM) codes A4238, A4239, E2102, and E2103 that may have inappropriately denied or paid claims without NDC codes between Jan 1-Sept 15, 2023. IHCP will automatically mass adjust or reprocess affected claims starting November 22, 2023.
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What to do
Action · 3 steps
01Starting November 22, 2023: Billing team should monitor remittance advices for adjusted or reprocessed CGM claims with ICN/Claim IDs beginning with 52 (mass replacements) or 80 (reprocessed denied claims).
02Review any adjustments and verify proper posting to patient accounts.
03No action needed for future claims as the system has been corrected.
Codes mentioned
A4238A4239E2102E2103
Original notice
BT2023138: IHCP will reprocess or mass adjust claims for select continuous glucose monitor procedure codes
in.gov · Always check the source before changing claims.
Related changes
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