Section 616C.149 - Contents of bill to insurer; adoption by reference and annual review of ICD-9-CM codes; submission to insurer of order for services rendered1. Each provider of health care and each medical facility shall submit a bill to the insurer which includes: (a) The usual charge for services provided;(b) The code for the procedure and a description of the services;(c) The number of visits and date of each visit to the office of the provider of health care or to the medical facility and the procedures followed in any treatment administered during the visit;(d) The codes for supplies and materials provided or administered to the injured employee that are set forth in the "Healthcare Common Procedures Coding System (HCPCS)," as contained in the Relative Values for Physicians adopted by reference pursuant to NAC 616C.145;(e) The name of the injured employee and his or her employer and the date of the injury;(f) The tax identification number of the provider of health care; and(g) The signature of the person who provided the service.2. In addition to the information required by subsection 1, each physician or chiropractor and each medical facility shall include on the bill the ICD-CM codes identifying the parts of the body of the injured employee that were affected by the injury, as set forth in the most recently published edition of or update to the International Classification of Diseases, Clinical Modification (ICD-CM), which is hereby adopted by reference.3. The Administrator will, on or before February 1 of each year, review the most recently published edition of or update to the International Classification of Diseases. Each new edition of or update to the International Classification of Diseases shall be deemed approved by the Administrator for use in this State on February 1 of each year, unless a notice of disapproval of the edition or update is posted pursuant to this subsection by the immediately preceding April 1. If the Administrator wishes to disapprove a new edition of or update to the International Classification of Diseases, the Administrator will: (a) Post a notice of disapproval at the largest public library in each county, the State Library, Archives and Public Records, the Grant Sawyer Office Building located at 555 East Washington Avenue, Las Vegas, Nevada, and all offices of the Division; and(b) Send a notice to each person included on the mailing list that the Division is required to maintain pursuant to paragraph (e) of subsection 1 of NRS 233B.0603. If the Administrator disapproves an edition of or update to the International Classification of Diseases, the edition or update that was most recently adopted by reference or deemed approved pursuant to this section will continue in effect.
4. A copy of the International Classification of Diseases is available, free of charge, from the Centers for Disease Control and Prevention at the Internet address http://www.cdc.gov/nchs/icd.htm.5. The initial bill submitted to the insurer by a licensed physical therapist or a licensed occupational therapist must be accompanied by a copy of the order for the services rendered, issued by the treating physician or chiropractor. Any subsequent bill submitted to the insurer by a licensed physical therapist or a licensed occupational therapist must include a copy of the order for the services rendered if the order is changed by the treating physician or chiropractor.Nev. Admin. Code § 616C.149
Added to NAC by Dep't of Industrial Relations, eff. 3-15-84; A 11-30-84; A by Div. of Industrial Relations, 10-11-93; 3-5-96; R121-97, 12-10-97, eff. 1-1-98; R090-99, 10-28-99; R105-00, 1-18-2001, eff. 3-1-2001; R118-02, 9-7-2005-Substituted in revision for NAC 616C.215; A by R130-14, eff. 9/9/2016NRS 616A.400, 616C.130, 616C.260