Indiana

high

IN IHCP MAX FEE Schedules

SUCCESS

Run Date and Time

May 15, 2026

27s

Run Metrics

New0
Changed2
Unchanged8
Checked10

Fee Schedule Impacts

High1
Medium1
Low0

Run summary

This run for Indiana Health Coverage Programs / IN_IHCP_MAX_FEE_SCHEDULES identified 2 changed documents and 0 newly discovered documents. 1 item(s) are high priority.

High Impact (1)

refw0401.txt

high

The document shows updates to laboratory service codes, including changes in maximum fees and coverage status. Notably, code 0239U has a new max fee of $3500 effective 05/01/2025, and code 0242U has a max fee of $5000 effective 07/24/2023.

Highlights

  • Code 0239U max fee updated to $3500 effective 05/01/2025.
  • Code 0242U max fee set at $5000 effective 07/24/2023.
  • Code 0239U changed from non-covered to laboratory category.

Reason

The changes include significant fee updates and coverage status changes effective soon.

Watch items

0239U max fee 05/01/20250242U max fee 07/24/2023
Medium Impact (1)

Professional Fee Schedule.xlsx

medium

The professional fee schedule was updated on May 12, 2026, reflecting changes completed as of April 28, 2026. No specific rate or policy changes are detailed in the evidence provided.

Highlights

  • Fee schedule last updated: May 12, 2026
  • Changes completed as of April 28, 2026
  • No specific rate changes detailed

Reason

The update is recent, but no specific rate or policy changes are evident in the provided excerpts.

Low Impact (0)

No documents in this severity group.