Section 27-13-41-1 - Use of diagnostic or procedure codes Not more than ninety (90) days after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in this section:
(1) a health maintenance organization and a limited service health maintenance organization shall begin using the version specified in IC 27-1-1.5 of the: (A) Current Procedural Terminology (CPT);(B) International Classification of Diseases (ICD);(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);(D) Current Dental Terminology (CDT);(E) Healthcare Common Procedure Coding System (HCPCS); and(F) third party administrator (TPA); codes under which the health maintenance organization and limited service health maintenance organization pay claims for health care services covered under an individual contract or a group contract; and
(2) a provider shall begin using the version specified in IC 27-1-1.5 of the: (A) Current Procedural Terminology (CPT);(B) International Classification of Diseases (ICD);(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);(D) Current Dental Terminology (CDT);(E) Healthcare Common Procedure Coding System (HCPCS); and(F) third party administrator (TPA); codes under which the provider submits claims for payment for health care services covered under an individual contract or a group contract.
Amended by P.L. 124-2018,SEC. 101, eff. 7/1/2018.As added by P.L. 161-2001, SEC.5. Amended by P.L. 66-2002, SEC.18.