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Indiana Medicaid (IHCP)Medicaid · Reimbursement · Claims & Billing · IN · Urology, Wound Care, Neurology +1 moreMedium impact

BT202345: Updates to the coverage and billing information for the 2023 April quarterly HCPCS code update

Act
immediately
Effective date
Apr 1, 2023
Identified
Jun 19, 2026

Summary

Indiana Medicaid updated pricing and billing information for several HCPCS codes from the April 2023 quarterly update. Professional and outpatient pricing has been added for urinary catheter devices, compression garments, and neurostimulator supplies, with changes effective retroactively to April 1, 2023.

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What to do

immediately · 3 steps
01Billing team must verify current pricing for codes A4341, A4342, A6590, A6591, E0677, L8678, and A2020 on the IHCP Professional and Outpatient Fee Schedules at in.gov/medicaid/providers.
02Update billing system with new pricing and ensure L8678 is set up for separate professional claim billing in addition to outpatient institutional claims.
03Prior authorization is no longer required for A2020 (AC5 Advanced Wound System).

Codes mentioned

A4341A4342A6590A6591E0677L8678A2020

Original notice

BT202345: Updates to the coverage and billing information for the 2023 April quarterly HCPCS code update
in.gov · Always check the source before changing claims.
View original ↗

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