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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Provider Bulletin · INMedium impact

BT202126: Additional codes covered for COVID-19 vaccine and treatment

Act
immediately
Effective date
Feb 9, 2021
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) added four new billing codes for COVID-19 vaccines and treatments. Two codes cover Johnson & Johnson vaccine and administration (91303, 0031A), and two cover bamlanivimab/etesevimab treatment (Q0245, M0245). All codes are effective retroactively with specific reimbursement rates.

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What to do

immediately · 5 steps
01Add new HCPCS codes 91303, 0031A, Q0245, and M0245 to billing system for COVID-19 services.
02Set reimbursement rates: 0031A at $37.21 (after 3/17/21) or $26.11 (2/27-3/16/21), M0245 at $278.98 (professional) or $309.60 (outpatient).
03Configure 91303 and Q0245 to bill at zero dollars.
04Link all codes to revenue code 636.
05Submit managed care member claims to Gainwell Technologies FFS system, not managed care plans.

Codes mentioned

91303Q0245M0245

Original notice

BT202126: Additional codes covered for COVID-19 vaccine and treatment
in.gov · Always check the source before changing claims.
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