Indiana

high

IN IHCP MAX FEE Schedules

SUCCESS

Run Date and Time

Aug 15, 2026

27s

Run Metrics

New0
Changed3
Unchanged7
Checked10

Fee Schedule Impacts

High2
Medium1
Low0

Run summary

This run for Indiana Health Coverage Programs / IN_IHCP_MAX_FEE_SCHEDULES identified 3 changed documents and 0 newly discovered documents. 2 item(s) are high priority.

High Impact (2)

BT2026110.pdf

high

The document indicates that IHCP bulletin BT2026110 has been replaced by BT2026131. This change is effective for dates of service on or after July 1, 2026, as part of the quarterly HCPCS update.

Highlights

  • IHCP bulletin BT2026110 replaced by BT2026131.
  • Effective for dates of service on or after July 1, 2026.
  • Part of the July 2026 quarterly HCPCS update.

Reason

The replacement of a bulletin with a new one effective soon suggests a significant update that may impact reimbursement or policy.

Watch items

BT2026131July 1, 2026

refw0401.txt

high

The document update includes changes to the termination dates for certain laboratory services, specifically extending the termination date for CPT code 0029U to 06/30/2026. This impacts reimbursement schedules for these services.

Highlights

  • CPT code 0029U termination date extended to 06/30/2026.
  • Laboratory service 'rx metab advrs trgt seq alys' affected.
  • No change in max fee for CPT code 0029U ($742.27).

Reason

The change affects reimbursement schedules by extending the termination date for a specific CPT code, impacting billing and coverage.

Watch items

0029U06/30/2026
Medium Impact (1)

Professional Fee Schedule.xlsx

medium

The document update reflects a new professional fee schedule last updated on August 11, 2026, with changes completed as of July 28, 2026. However, no specific rate or policy changes are detailed in the excerpts provided.

Highlights

  • Update date: August 11, 2026
  • Changes completed as of July 28, 2026
  • No specific rate changes detailed
  • No new CPT codes or modifiers mentioned

Reason

The update is recent but lacks specific rate or policy changes in the evidence provided.

Low Impact (0)

No documents in this severity group.