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BT2023117: Claims to be reprocessed after age coverage expansion for Moderna COVID-19 codes
Effective date
Oct 18, 2023
Identified
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) is automatically reprocessing previously denied claims for Moderna COVID-19 bivalent booster vaccines administered to members ages 12-17 with dates of service from Oct 12, 2022 onward. Claims that were incorrectly denied for age compatibility will be reprocessed and appear on remittance advices starting Oct 18, 2023.
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What to do
Action · 3 steps
01Starting Oct 18, 2023: Billing team should monitor remittance advices for reprocessed claims with ICNs beginning with '80' for Moderna COVID-19 vaccines administered to ages 12-17.
02No action required - reprocessing is automatic.
03Review payments for previously denied claims with codes 91313 and 0134A to ensure proper reimbursement.
Codes mentioned
91313
Original notice
BT2023117: Claims to be reprocessed after age coverage expansion for Moderna COVID-19 codes
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2022101: IHCP adds coverage for COVID-19 booster vaccines and administrationMediumEffective Aug 31, 2022 · Medical PolicyBT202398: IHCP expands coverage for Moderna COVID-19 booster vaccine and administration codesMediumEffective Oct 12, 2022 · Medical PolicyBT2023179: Coverage removed for Pfizer and Moderna COVID-19 vaccination codes; replacement codes providedMediumEffective Nov 1, 2023 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list