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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · IN · Family Medicine, General Practice, Psychiatry +2 moreMedium impact

BT202141: IHCP updates FQHC and RHC encounter codes

Act
by Dec 1, 2021
Effective date
Jul 1, 2021
Identified
Jun 19, 2026

Summary

Indiana Medicaid (IHCP) is adding 16 new procedure codes as valid FQHC and RHC encounter codes effective July 1, 2021, retroactive to January 1, 2021, and removing 2 nationally deleted codes. Previously denied claims for the new codes can be resubmitted within 180 days of the bulletin publication date.

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What to do

by Dec 1, 2021 · 3 steps
01FQHC and RHC billing teams must update billing systems to include the 16 new valid encounter codes for claims with dates of service January 1, 2021 and after.
02Resubmit any previously denied claims for these codes within 180 days of June 3, 2021 publication date, attaching a copy of bulletin BT202141.
03Remove codes 99201 and D3427 from valid encounter code lists for dates of service after December 31, 2020.

Codes mentioned

5746590785908999616596171D1355D3471D3472D3473D3501D3502D3503D7961D7962G0444G0466G0467G0468G0469G0470H0015H201199201D3427

Original notice

BT202141: IHCP updates FQHC and RHC encounter codes
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2020122: IHCP announces procedure codes for newly enrolled behavioral health professionalsMediumEffective Jan 1, 2021 · Specialty ServicesBT202109: Coverage and billing information for the 2021 annual HCPCS codes updateMediumEffective Jan 1, 2021 · Claims & BillingBT202396: IHCP removes PA requirements for newborn or infant frenectomiesMediumEffective Sep 11, 2023 · Provider BulletinBT2024156: IHCP clarifies guidelines for using MRO billing and prior authorization codesMediumEffective Oct 1, 2024 · Prior AuthorizationBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesFamily MedicineGeneral PracticePsychiatryDentistryOB-GYNCode 57465Code 90785Code 90899Code 96165Code 96171Code D1355Code D3471Code D3472Code D3473Code D3501Code D3502Code D3503Code D7961Code D7962Code G0444Code G0466Code G0467Code G0468Code G0469Code G0470Code H0015Code H2011Code 99201Code D3427

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