MedicaidBilling CodesHigh impact
BT202109: Coverage and billing information for the 2021 annual HCPCS codes update
Indiana Medicaid (IHCP)·IN · ENT (Ear, Nose & Throat), Pulmonology, Cardiothoracic Surgery +6 more·Claims & Billing
Effective date
Jan 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has implemented the 2021 annual HCPCS code update with new procedure codes, COVID-19 testing/vaccine codes, and coverage determinations effective retroactively to January 1, 2021. Multiple new surgical, diagnostic, and genetic testing codes are now covered with specific prior authorization requirements and pricing guidelines.
Action Required
By March 11, 2021: Billing team must update system with new 2021 HCPCS codes effective retroactively to January 1, 2021. Add prior authorization requirements for genetic testing codes 81168, 81278, and 81279 (limit 1 per lifetime). Update fee schedules and code table documents from in.gov/medicaid/providers. For claims with DOS after January 1, 2021, providers have 90 days for managed care submissions or 180 days for fee-for-service submissions to bypass timely filing limits - include copy of bulletin first page with late claims.