Prohibition on diagnosis-based downcoding

215 ILCS 220/20, under Transparency in Downcoding Act.

215 ILCS 220/20

(215 ILCS 220/20)     (This Section may contain text from a Public Act with a delayed effective date)

    Sec. 20. Prohibition on diagnosis-based downcoding. A health care payor shall not downcode a claim based solely on the reported diagnosis codes.

(Source: P.A. 104-568, eff. 1-1-28.)