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BT2020101: IHCP updates FQHC and RHC encounter codes
Act
by Oct 1, 2020
Effective date
Oct 1, 2020
Identified
Jun 19, 2026
Summary
Effective October 1, 2020, Indiana Health Coverage Programs (IHCP) removed 13 CPT codes from the list of valid FQHC and RHC encounter codes, including consultation codes, preventive counseling codes, and several vaccines and lab tests. These codes can no longer be billed as encounter codes for federally qualified health centers and rural health clinics in Indiana Medicaid.
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What to do
by Oct 1, 2020 · 3 steps
01FQHC and RHC billing teams in Indiana must remove the 13 specified CPT codes from their encounter billing system configurations.
02Update billing software to prevent these codes from being submitted as encounter codes to Indiana Medicaid.
03Review the updated valid encounter code list on the Myers and Stauffer website at mslc.com/Indiana.
Codes mentioned
80195906819069692618963769924199242992439924499245994029940399404
Original notice
BT2020101: IHCP updates FQHC and RHC encounter codes
in.gov · Always check the source before changing claims.
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