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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on October 24, 2017 (unless alternate date is noted). Bulletins and Banner Pages BT201770 – IHCP adds coverage for CPT code 91200 to assess liver fibrosis BT201769 – IHCP revises PA criteria for orthodontic services and allows for phased treatment BR201743 - IHCP assigns maximum-fee pricing to CPT codes 77065, 77066, and 77067 - IHCP to mass adjust or mass reprocess claims for HCPCS code H0035 that denied incorrectly - IHCP links CPT code 0474T to revenue code 940 and updates pricing - IHCP to update outpatient reimbursement methodology for cardiology revenue codes Provider Reference Modules
Family Planning Services - Reorganized and edited text as needed for clarity - Removed ICD-9 codes - Added Portal billing instructions - Clarified service coverage information in the Introduction section - Updated the Billing for Family Planning Services section - Updated the Long-Acting Reversible Contraception Devices section and subsections - Clarified billing instructions for partial sterilization in the Sterilization section - Removed printed copy request information from the Consent for Sterilization Form section - Updated reimbursement information for the Essure device in the Hysteroscopic Sterilization With an Implant Device (Essure) section Hospital Assessment Fee - Reorganized and edited text as needed for clarity - Replaced Hewlett Packard Enterprise references with DXC Technology - Updated the HAF extension date to June 30, 2019 - Updated Table 1 – Adjustment Factors for Inpatient Rates and Table 2 – Adjustment Factors for Outpatient Rates - Updated the Managed Care Payment Increases section Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Family Planning Services Codes - Reviewed all code tables - Removed Long-Acting Reversible Contraception (LARC) Devices Separately Reimbursable During an Inpatient Hospital or Birthing Center Stay for Delivery table (Now located in the Obstetrical and Gynecological Services Codes document) Procedure Codes that Require National Drug Codes - See BR201731 for details Surgical Services Codes – ICD 10 Diagnosis Codes for the Phrenic Nerve Stimulator and ICD 10 Procedure Codes for Phrenic Nerve Stimulator Services - See BT201765 for details Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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