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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Claims & Billing · IN · Endocrinology, Wound Care, Ophthalmology +1 moreMedium impact

BT202229: Manual pricing reimbursement information for select April 2022 quarterly HCPCS codes

Act
immediately
Effective date
Apr 1, 2022
Identified
Jun 19, 2026

Summary

Indiana Medicaid has established manual pricing for 6 new quarterly HCPCS codes effective April 1, 2022, including continuous glucose monitor supplies, compression devices, and contact lenses. Five of these codes (A4238, E2102, K1031, K1032, K1033) now require attachments for claims processing.

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What to do

immediately · 3 steps
01Billing team must update Indiana Medicaid claims to include required attachments for codes A4238, E2102, K1031, K1032, and K1033 for dates of service on or after April 1, 2022.
02Update billing system to flag these codes for manual pricing verification.
03Review Professional Fee Schedule updates at in.gov/medicaid/providers for current reimbursement amounts.

Codes mentioned

A4238E2102K1031K1032K1033V2525

Original notice

BT202229: Manual pricing reimbursement information for select April 2022 quarterly HCPCS codes
in.gov · Always check the source before changing claims.
View original ↗

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