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BT202068: IHCP COVID-19 Response: Reimbursement updates for 86328 and 86769
Act
immediately
Effective date
May 19, 2020
Identified
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) updated reimbursement rates for COVID-19 antibody testing codes 86328 and 86769, increasing maximum fees to $45.23 and $42.13 respectively. Providers can resubmit previously paid claims to obtain the higher rates, even beyond the 180-day timely filing limit if they include this bulletin.
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What to do
immediately · 3 steps
01Billing team should resubmit any previously paid claims for CPT codes 86328 and 86769 with dates of service on or after May 19, 2020 to obtain higher reimbursement rates ($45.23 and $42.13 respectively).
02For claims beyond the 180-day timely filing limit, attach a copy of bulletin BT202068 to the resubmission.
03Update fee schedules in billing system with new maximum rates.
Codes mentioned
8632886769
Original notice
BT202068: IHCP COVID-19 Response: Reimbursement updates for 86328 and 86769
in.gov · Always check the source before changing claims.
Related changes
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