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

BT202120: IHCP announces new revised E/M codes for office visits

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

Summary

Indiana Medicaid updated E/M office visit codes (99202-99215) effective January 1, 2021, allowing providers to code based on time OR medical decision-making instead of traditional history/exam requirements. Code 99201 was deleted, time thresholds changed, and new prolonged service codes G2212 and 99417 are now covered with updated reimbursement rates effective April 23, 2021.

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What to do

immediately · 5 steps
01Update billing system to reflect deleted code 99201 and revised time thresholds for codes 99202-99215.
02Train providers on new MDM matrix and time-based coding options.
03Add prolonged service codes G2212 and 99417 to billing system with equal reimbursement rates.
04Review claims from January 1, 2021 forward as IHCP will mass adjust these retroactively starting April 23, 2021.
05Podiatrists and chiropractors cannot bill codes 99204, 99205, 99214, or 99215.

Codes mentioned

99201992029920399204992059921199212992139921499215G221299417

Original notice

BT202120: IHCP announces new revised E/M codes for office visits
in.gov · Always check the source before changing claims.
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Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesCode 99201Code 99202Code 99203Code 99204Code 99205Code 99211Code 99212Code 99213Code 99214Code 99215Code G2212Code 99417

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