Common use of Code Change Updates Clause in Contracts

Code Change Updates. Updates to billing-related codes (e.g., CPT, HCPCS, ICD-9, DRG, revenue codes, etc.) will become effective on the date that is the later of: (a) the first day of the month following thirty (30) days after publication of acceptance of the code updates by the Government Authority having authority over the Medicaid Program; or (b) the effective date of the code updates, as determined by the Government Authority. Claims processed prior to the effective date of code updates will not be reprocessed to reflect code updates.

Code Change Updates. Updates to billing-related codes (e.g., CPT, HCPCS, ICD-9, DRG, and revenue codes, etc.) will shall become effective on the date (“Code Change Effective Date”) that is the later of: (ai) the first day of the month following thirty (30) days after publication of acceptance of the code updates by the Government Authority governmental agency having authority over the Medicaid Programapplicable product of such governmental agency’s acceptance of such code updates; or (bii) the effective date of the such code updates, as determined by the Government Authoritysuch governmental agency. Claims processed prior to the effective date of code updates will Code Change Effective Date shall not be reprocessed to reflect any code updates.