§ 27-13-41-1 — Use of diagnostic or procedure codes

Indiana § 27-13-41-1

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 13: HEALTH MAINTENANCE ORGANIZATIONS
• Ch. 41: Claims

Text

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.

Legislative History

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