1. (a) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:

   1. (1) the association shall begin using the most current version of the:

      1. (A) current procedural terminology (CPT);
      2. (B) international classification of diseases (ICD);
      3. (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);
      4. (D) current dental terminology (CDT);
      5. (E) Healthcare common procedure coding system (HCPCS); and

      6. (F) third party administrator (TPA);

         codes under which the association pays claims for services provided under an association policy; and

   2. (2) a health care provider shall begin using the most current version of the:

      1. (A) current procedural terminology (CPT);
      2. (B) international classification of diseases (ICD);
      3. (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);
      4. (D) current dental terminology (CDT);
      5. (E) Healthcare common procedure coding system (HCPCS); and

      6. (F) third party administrator (TPA);

         codes under which the health care provider submits claims for payment for services provided under an association policy.

2. (b) If a health care provider provides services that are covered under an association policy:

   1. (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (a); and

   2. (2) before the association begins using the most current 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 in effect on the date that the services were provided.

As added by P.L.161-2001, SEC.3. Amended by P.L.66-2002, SEC.15.