Use of diagnostic or procedure codes

Ind. Code § 27-13-41-1, under Claims.

Ind. Code § 27-13-41-1

Sec. 1. 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. As added by P.L.161-2001, SEC.5. Amended by P.L.66-2002, SEC.18; P.L.124-2018, SEC.101.