Indiana
highIN IHCP MAX FEE Schedules
Run Date and Time
Jul 15, 2026
29s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Indiana Health Coverage Programs / IN_IHCP_MAX_FEE_SCHEDULES identified 2 changed documents and 2 newly discovered documents. 2 item(s) are high priority. 1 newly discovered item(s) appear current or upcoming.
High Impact (2)
BT2026110.pdf
The document outlines coverage and billing information for the July 2026 HCPCS code update, effective from July 1, 2026. It includes non-coverage details for specific codes like 1036T and 1037T.
Highlights
- •Effective date: July 1, 2026
- •Non-covered codes: 1036T, 1037T
- •Awaiting CMS fee schedule finalization
Reason
The document includes imminent changes to coverage and billing guidelines effective July 1, 2026, impacting reimbursement.
Watch items
refw0401.txt
The document update extends the termination date for certain anesthesia codes to 06/30/2026, which may impact reimbursement schedules.
Highlights
- •Termination date for code 00300 extended to 06/30/2026.
- •Termination date for code 00320 extended to 06/30/2026.
Reason
The extension of termination dates for anesthesia codes could affect reimbursement rates and policies immediately.
Watch items
Medium Impact (2)
Outpatient-Fee-Schedule-2026-07.xlsx
The document introduces updates to the outpatient fee schedule, including code updates and new columns for hospital assessment fee factors. It also lists specific codes related to cervical and thoracic supports.
Highlights
- •Updated outpatient fee schedule with code updates.
- •Added columns for hospital assessment fee factors.
- •Includes specific codes for cervical and thoracic supports.
Reason
The document contains updates to fee schedules and codes, but the effective date is not imminent.
Professional Fee Schedule.xlsx
The document update reflects a change in the professional fee schedule's last update date from June 9, 2026, to July 14, 2026, with changes completed as of June 30, 2026. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Update date changed to July 14, 2026
- •Changes completed as of June 30, 2026
- •No specific rate changes identified
- •No new CPT/HCPCS codes noted
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.