(b) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:(1) the office shall for all purposes begin using the most current version 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 office processes claims for services provided under the Medicaid program; and(2) a provider shall begin using the most current version 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 services provided under the rminology (CDT);(E) Healthcare common procedure coding system (HCPCS); and(F) third party administrator (TPA);codes under which the provider submits claims for payment for services provided under the Medicaid program.(c) If a provider provides services that are covered under the Medicaid program:(1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (b); and(2) before the office begins using the most current version of the diagnostic or procedure code;the office shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.As added by P.L.161-2001, SEC.2. Amended by P.L.66-2002, SEC.4; P.L.27-2011, SEC.3.
Indiana Legal Code