The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on October 26, 2017 (unless alternate date is noted). News and Announcements (home page) IHCP delays changes to taxonomy code requirements on claims for attending, operating, and OPR providers Provider Reference Modules
Vision Services -Reorganized and edited text as needed for clarity -Clarified restrictions in the Coverage and Restrictions for Vision Services section -Removed outdated claim-processing information in the Vision Procedures Limited to One Unit section -Clarified coverage in the Eye Examinations section -Replaced the list of services with a reference to the IAC and Medical Policy Manual in the Diagnostic Services section -Added medical necessity guidelines and updated reimbursement information in the Eyeglasses section -Updated instructions for providers to bill the upgrade portion to the member in the Lenses section -Updated reimbursement information in the Frames section -Updated billing instructions in the Replacement or Repair of Eyeglasses section -Clarified proper use of the billing codes in the Contact Lenses section -Added Portal instructions for attachments the Corneal Tissue section -Updated billing instructions in the Intraocular Lenses section -Moved intraocular stent codes to the Vision Services Codes document and placed reference in the Intraocular Stents section -Added EVS options to the Vision Benefit Limits section and clarified that EVS information is for FFS claims only Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Behavioral and Primary Healthcare Coordination (BPHC) Codes -Removed ICD-9 code tables -Reviewed all codes -Updated the following table per BT201765: ICD-10 BPHC-Eligible Mental Health and Substance Abuse Diagnosis Codes Hospice Services Codes -Removed ICD-9 code tables -Reviewed all codes -Updated the following tables per BT201765: ICD-10 Diagnosis Codes for Amyotrophic Lateral Sclerosis (ALS) ICD-10 Diagnosis Codes for Heart Disease ICD-10 Diagnosis Codes for Pulmonary Disease -Obstetrical and Gynecological Services Codes Updated the following table per BT201765: ICD-10 Procedure Codes for Hysterectomy Vision Services Codes -Reviewed all codes -Added the following table (from codes previously listed in the Vision Services module and updated per BT201741: Procedure Codes for Billing Intraocular Stents Inserted in Conjunction with Cataract Surgery Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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