MedicaidReimbursementMedium impact
BT202209: Outpatient reimbursement information updated for select annual 2022 HCPCS codes
Indiana Medicaid (IHCP)·IN · Urology, Ophthalmology, Endocrinology +1 more·Claims & Billing
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has updated outpatient reimbursement rates for 10 specific HCPCS codes, effective retroactively from January 1, 2022. The codes include urological procedures, eye surgeries, thyroid treatments, and heart function devices with specific reimbursement rates ranging from ASC rates to 90% of billed charges.
Action Required
Immediately: Billing team must update fee schedules in billing system for the 11 specified procedure codes with new reimbursement rates for IHCP outpatient claims. Verify system can handle retroactive billing back to January 1, 2022. Resubmit any previously denied claims for these codes with dates of service on or after Jan 1, 2022.