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Indiana Medicaid (IHCP)Medicaid · Reimbursement · Claims & Billing · IN · Cardiology, ENT (Ear, Nose & Throat), NeurologyMedium impact

BT202122: Corrected outpatient reimbursement information provided for select annual 2021 HCPCS codes

Act
immediately
Effective date
Jan 1, 2021
Identified
Jun 19, 2026

Summary

Indiana Medicaid corrected billing guidance for audiology testing codes 92650-92653 and cardiac monitoring codes 93241-93247, switching from percentage-based to flat-rate revenue code reimbursement. Code 93244 is not separately reimbursable in outpatient settings.

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What to do

immediately · 3 steps
01Billing team must verify these codes are set up for flat-rate revenue code billing (not percentage-based) in billing system for Indiana Medicaid claims.
02Stop billing code 93244 separately for outpatient services.
03Review and resubmit any denied claims with dates of service on or after January 1, 2021 that used the old billing methodology.

Codes mentioned

9265092651926529265393241932429324393244932459324693247

Original notice

BT202122: Corrected outpatient reimbursement information provided for select annual 2021 HCPCS codes
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202109: Coverage and billing information for the 2021 annual HCPCS codes updateMediumEffective Jan 1, 2021 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesCardiologyENT (Ear, Nose & Throat)NeurologyCode 92650Code 92651Code 92652Code 92653Code 93241Code 93242Code 93243Code 93244Code 93245Code 93246Code 93247

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

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