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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · IN · Infectious Disease, Internal Medicine, Family Medicine +2 moreMedium impact

BT202206: IHCP covers additional COVID-19 treatment codes M0220, M0221 and Q0220

Act
by Feb 23, 2022 (90 days from publication)
Effective date
Dec 8, 2021
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP/Medicaid) now covers three new COVID-19 treatment codes (M0220, M0221, Q0220) for tixagevimab and cilgavimab injections for pre-exposure prophylaxis in immunocompromised patients age 12+ or those who cannot receive COVID vaccines. No prior authorization required, and providers have extended filing limits.

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What to do

by Feb 23, 2022 (90 days from publication) · 5 steps
01Billing team must update systems to include new COVID-19 treatment codes M0220, M0221, and Q0220 with proper reimbursement rates.
02For outpatient settings, bill with revenue code 636.
03Note that Q0220 pays $0 as drugs are provided free.
04Include copy of bulletin page 1 when filing claims beyond standard limits.
05Verify patient meets age restriction (12+ years) and clinical criteria for immunocompromised status or vaccine contraindication.

Codes mentioned

M0220M0221Q0220

Original notice

BT202206: IHCP covers additional COVID-19 treatment codes M0220, M0221 and Q0220
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT202537: IHCP removes coverage for certain COVID-19 treatment procedure codesMediumEffective Dec 13, 2024 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesInfectious DiseaseInternal MedicineFamily MedicinePediatricsOncologyCode M0220Code M0221Code Q0220

Summaries are AI-assisted. Always confirm against the original payer notice.

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