Sec. 5. (a) Except as provided in subsection (b), a provider shall not present a bill, claim, or other demand for payment for an anatomic pathology service unless the anatomic pathology service was performed:
(1) within the provider's office;
(2) by a physician or under the direct supervision of a physician; and
(3) in accordance with Section 353 of the federal Public Health Service Act (42 U.S.C. 263a).
(b) If a sample taken from a human body is sent:
(1) by a provider that has performed an anatomic pathology service; and
(2) to a second provider for a second opinion;
the provider described in subdivision (1) may present a bill, claim, or other demand for payment for the second opinion.
As added by P.L.222-2011, SEC.1.
Structure Indiana Code
Article 48. Other Health Care Providers and Services
Chapter 1. Anatomic Pathology Services
16-48-1-0.5. Application and Construction of Chapter
16-48-1-1. "Anatomic Pathology Service"
16-48-1-5. Billing, Claims, Demand for Payment for Anatomic Pathology Service; Second Opinion
16-48-1-6. Recipient of Bill, Claim, Other Demand for Payment for Anatomic Pathology Service
16-48-1-8. License or Certification; Consequences for Violation