MedicaidBilling CodesMedium impact
BT202057: IHCP COVID-19 Response: Additional HCPCS April 2020 quarterly code updates announced
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Mar 18, 2020
We identified it
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.
Action Required
Immediately: Billing 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). Configure professional claims reimbursement at 30% of billed charges for antibody codes and $100 max fee for detection codes. Set outpatient claims to link to revenue codes 300/310. Mark all codes as copay exempt for all programs including managed care.