MedicaidBilling CodesMedium impact
BT2023126: IHCP updates DME and HME code tables
Indiana Medicaid (IHCP)·IN · Neurosurgery, PM&R (Physical Medicine & Rehab)·Provider Bulletin
Effective date
Sep 28, 2023
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) updated their DME and HME code tables to correctly reflect coverage and billing requirements for three procedure codes that were previously announced but incompletely documented. The updates clarify provider specialty allowances and rental periods for wheelchair accessories and neurostimulator generators.
Action Required
Immediately: Billing team must verify that codes C1825, E0986, and E2313 are properly configured in billing system for Indiana Medicaid claims. Update system to reflect that E0986 and E2313 are subject to 10-month capped rental periods for HME specialty 251 providers. Ensure C1825 is enabled for DME specialty 250 providers. Contact appropriate entities for billing questions: Gainwell Technologies (800-457-4584) for FFS or individual MCEs for managed care members.