MedicaidReimbursementMedium impact
BT202122: Corrected outpatient reimbursement information provided for select annual 2021 HCPCS codes
Indiana Medicaid (IHCP)·IN · Cardiology, ENT (Ear, Nose & Throat), Neurology·Claims & Billing
Effective date
Jan 1, 2021
We identified it
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.
Action Required
Immediately: Billing team must verify these codes are set up for flat-rate revenue code billing (not percentage-based) in billing system for Indiana Medicaid claims. Stop billing code 93244 separately for outpatient services. Review and resubmit any denied claims with dates of service on or after January 1, 2021 that used the old billing methodology.