Section 27-8-10-11.2 - Use of diagnostic or procedure codes(a) 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 subsection: (1) the association 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 association pays claims for services provided under an association policy; and
(2) a health care 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 health care provider submits claims for payment for services provided under an association policy.
(b) If a health care provider provides services that are covered under an association policy: (1) after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in subsection (a); and(2) before the association begins using the version of the diagnostic or procedure code; the association shall reimburse the health care provider under the version of the diagnostic or procedure code that was specified in IC 27-1-1.5 on the date that the services were provided.
Amended by P.L. 124-2018,SEC. 78, eff. 7/1/2018.As added by P.L. 161-2001, SEC.3. Amended by P.L. 66-2002, SEC.15.