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IHCP Update: Published June 10

6/10/2021

 
The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on June 10, 2021 (unless alternate date is noted).
​Bulletin
BT202143 – IHCP clarifies physical medical care requirements for behavioral health professionals

Provider Reference Modules

Podiatry Services
  • In the Office Visits section:
  • Updated the limit for podiatry office visits from “per 12 months” to “per calendar year” and updated the description for the related system audit (6090)
  • Removed CPT code 99201
  • In the Routine Foot Care section, updated the limit for routine foot care from “per 12-month period” to “per calendar year”
  • In the Surgical Services section, clarified language about confirmatory consultations to align with 405 IAC 5‑26‑10
  • In the Laboratory and X-Ray Services section, added information about laboratory services reimbursed for podiatrists
Surgical Services
  • Added policy indicators for modifier 51 in the Multiple Procedures section
  • In the Facility Billing and Reimbursement for Outpatient Surgeries section, removed the 9xx revenue codes from the list of treatment codes that can also be surgical codes
  • Clarified the definition of “multiple surgeries” in the Multiple Surgeries and Bilateral Procedures section
  • Updated the Temporomandibular Joint (TMJ) Syndrome section to include additional behavioral health practitioners that can provide psychological therapy and to clarify PA requirements for surgical treatment for TMJ syndrome
  • Added information in the Transplant Procedures section about the IHCP following UNOS guidelines for organ transplant criteria and updated the applicable subsections accordingly
  • Added the Fecal Microbiota Transplant section
  • Added the Auditory Brainstem Implants section
  • Added introductory text in the Arthroplasty (Artificial Disc) section, updated the Lumbar Arthroplasty section and added subsections for Upper-Spine (Cervical) Arthroplasty and Second-Level Cervical Arthroplasty
  • Added the Spinal Stenosis Devices section
  • Clarified ICD diagnosis requirements for PA requests in the Vagus Nerve Stimulator section
  • Updated Table 12 – Reimbursement for Devices When Implanted in an Outpatient Setting

Code Tables
The following code table updates are accessible from the Code Sets page:
Podiatry Services Codes
  • All codes were reviewed
Surgical Services Codes
  • All codes were reviewed

​Check out these resources to stay up-to-date with the most recent changes at the IHCP. 

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