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BT202057: IHCP COVID-19 Response: Additional HCPCS April 2020 quarterly code updates announced
Act
immediately
Effective date
Mar 18, 2020
Identified
Jun 19, 2026
Summary
IHCP added four new HCPCS codes for COVID-19 testing and antibody detection, effective March 18 and April 10, 2020. These codes are covered under Traditional Medicaid and Family Planning programs with specific reimbursement rates and are copay exempt for all programs including managed care.
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What to do
immediately · 4 steps
01Billing team must add new COVID-19 codes 86328, 86769, U0003, and U0004 to billing system with correct effective dates (U0003/U0004 effective 3/18/2020, 86328/86769 effective 4/10/2020).
02Configure professional claims reimbursement at 30% of billed charges for antibody codes and $100 max fee for detection codes.
03Set outpatient claims to link to revenue codes 300/310.
04Mark all codes as copay exempt for all programs including managed care.
Codes mentioned
8632886769U0003U0004
Original notice
BT202057: IHCP COVID-19 Response: Additional HCPCS April 2020 quarterly code updates announced
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202062: IHCP COVID-19 Response: IHCP issues summary of recently released COVID-19-related codesHighEffective Feb 4, 2020 · Provider BulletinBT202068: IHCP COVID-19 Response: Reimbursement updates for 86328 and 86769MediumEffective May 19, 2020 · Claims & BillingBT202381: IHCP changes end date for COVID-19 testing codesMediumEffective May 12, 2023 · Provider BulletinBT202476: IHCP updates HIP preventive care services exempt from copaymentHighEffective Jul 1, 2024 · Managed CareBrowse every Indiana Medicaid (IHCP) change in the policy list