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BT2021112: IHCP requests feedback for proposed 2022 telehealth and virtual services code set

Indiana Medicaid (IHCP)·IN · OB-GYN, Psychiatry, Nephrology +3 more·Telehealth
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) is requesting provider feedback on their proposed 2022 telehealth and virtual services code set by January 31, 2022. The significantly expanded code set includes medical, dental, and virtual services that will be reimbursable via telehealth, requiring specific place-of-service codes (02 or 10) and modifier 95 for synchronous services.

Action Required

Action needed
By January 31, 2022: Submit feedback on proposed telehealth code set to telehealth.ompp@fssa.in.gov. Upon final code set publication: Billing team must update systems within 60 days to ensure telehealth services use appropriate place-of-service codes (02 or 10) and modifier 95 for synchronous services (except dental). Review the expanded telehealth-eligible procedure codes and update billing workflows accordingly.

Affected Billing Codes

59425
59426
59430
90785
90791
90792
90832
90833
90834
90836
90837
90838
90839
90840
90845
90846
90847
90849
90853
90951
90952
90954
90955
90957
90958
90960
90961
90963
90964
90965
90966
90967
90968
90969
90970
92002
92004
92012
92014
92227
92228
92507
92508
92521
92522
92523
92524
92526
92550
92551
92552
92553
92555
99217