Indiana Medicaid MNT coverage: codes
The short answerIndiana's IHCP professional fee schedule prices MNT: 97802 $34.00, 97803 $29.62 and 97804 $15.70 per unit (rates effective 1/1/2026). G0270, G0271 and S9470 sit in the schedule's Non Covered Services category. The IHCP modules reviewed do not state who may enroll or any limits.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Indiana. Public policy, not the member's benefits.
Indiana Medicaid
Medicaid (IHCP Professional Fee Schedule) · Indiana
| 97802 | Listed ($34.00 non-facility.) [1] |
|---|---|
| 97803 | Listed ($29.62 non-facility.) [1] |
| G0270 | Not covered (on the fee schedule as Non Covered Services ($0)) [1] |
| G0271 | Not covered (on the fee schedule as Non Covered Services ($0)) [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group) $15.70 non-facility. S9470 (nutritional counseling, dietitian visit) is in Non Covered Services. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Payment | Non-facility maximum, RBRVS pricing, rate effective 01/01/2026: 97802 $34.00; 97803 $29.62; 97804 $15.70 (schedule last updated June 9, 2026). Facility rates are lower. [1] |
| Also | The prior-authorization column is blank for 97802, 97803 and 97804. Rendering-provider eligibility, age or diagnosis limits and telehealth rules were not found in an IHCP module. [1] |
Check a Medicaid claim against the row
Before an Indiana Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.