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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Claims & Billing · IN · Podiatry, Dentistry, Pathology +8 moreMedium impact

BT202011: Additional information related to the 2020 annual HCPCS codes update

Effective date
Jan 1, 2020
Identified
Jun 19, 2026

Summary

Additional information and corrections for the 2020 annual HCPCS code update apply retroactively to dates of service on or after January 1, 2020. All laboratory procedure codes 80047 through 89398 are allowed for podiatry providers with the appropriate CLIA certification. Procedure code L2006 may be reported with revenue code 274. Table 1 corrects D5286, which was incorrectly listed as D5256 in the earlier bulletin, and corrects the prior authorization and NDC entries for G2066 from N/A to No. Table 2 lists A4226, E0787 and E2398 as newly covered procedure codes included in the long-term care per diem for dates of service on or after January 1, 2020. Table 3 lists discontinued procedure codes with alternate code considerations, including 19260 (alternate 21601), 74241 (alternate 74240) and 99444 (alternate 99421-99423). Inclusion of an alternate code on Table 3 does not indicate IHCP coverage of the alternate code.

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What to do

Action · 4 steps
01Already effective January 1, 2020, applied retroactively: Billing team must bill laboratory procedure codes 80047 through 89398 for podiatry providers only with the appropriate CLIA certification, as indicated in the Podiatry Services Codes on the IHCP Code Sets page.
02Billing team must report procedure code L2006 with revenue code 274.
03Billing team must bill D5286 for a removable unilateral partial denture, which is reimbursed as 90% of billed charges when billed on a CMS-1500 claim, and must enter the prior authorization and NDC information for G2066 as No. For discontinued codes in Table 3, use the alternate codes listed under alternate code considerations, but consult the Professional Fee Schedule on the IHCP Fee Schedules page for coverage information.
04Providers may submit, resubmit or adjust fee-for-service claims for L2006 affected by this update for dates of service on or after January 1, 2020, and may submit, resubmit or adjust fee-for-service claims they feel were impacted by the delay in publication of the Outpatient Fee Schedule and Clinical Laboratory Fee Schedule.

Codes mentioned

D5286D5256G2066A4226E0787E2398L20061926019271192723301033011330153386033870742417424574247742497426076930782057832078607786477871078805788067880790911922259222693299958279583195832958339583495950959519595395956961509615196152961539615496155971279896999444C9035C9036C9037C9038C9039C9040C9044C9045C9048C9049C9050C9051C9052C9141C9746D1550D1555D8691D8692D8693D8694D8698D8699D8703D8704J1942S1090

Original notice

BT202011: Additional information related to the 2020 annual HCPCS codes update
in.gov · Always check the source before changing claims.
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Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesPodiatryDentistryPathologyCardiologyNuclear MedicineRadiologyNeurologyOphthalmologyOncologyPsychiatryENT (Ear, Nose & Throat)Code D5286Code D5256Code G2066Code A4226Code E0787Code E2398Code L2006Code 19260Code 19271Code 19272Code 33010Code 33011Code 33015Code 33860Code 33870Code 74241Code 74245Code 74247Code 74249Code 74260Code 76930Code 78205Code 78320Code 78607Code 78647Code 78710Code 78805Code 78806Code 78807Code 90911Code 92225Code 92226Code 93299Code 95827Code 95831Code 95832Code 95833Code 95834Code 95950Code 95951Code 95953Code 95956Code 96150Code 96151Code 96152Code 96153Code 96154Code 96155Code 97127Code 98969Code 99444Code C9035Code C9036Code C9037Code C9038Code C9039Code C9040Code C9044Code C9045Code C9048Code C9049Code C9050Code C9051Code C9052Code C9141Code C9746Code D1550Code D1555Code D8691Code D8692Code D8693Code D8694Code D8698Code D8699Code D8703Code D8704Code J1942Code S1090

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