<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C2 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; text-decoration: underline; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:01:26"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000000">67:16:01:26</span></a><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">.  Use of I</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">nternational Classification of Diseases</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">.</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> Claims submitted under the provisions of chapters </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:02"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:02</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:03"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:03</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:05"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:05</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:07"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:07</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:09"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:09</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:11"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:11</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:13"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:13</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:25"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:25</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:41"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:41</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:43"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:43</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:44"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:44</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:46"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:46</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:47"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:47</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, and </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:48"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:48</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> must contain the applicable diagnosis codes contained in the </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">International Classification of Diseases, 10th Revision, Clinical Modification</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, 20</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">24</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003"> </span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    Claims submitted under chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:03"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">67:16:03</span></a><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> must </span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">also </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">contain the applicable procedure codes contained in the International Classification of Diseases, 10th Revision, Procedure Coding System, 20</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">24</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003"> </span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">Source:</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> 21 SDR 183, effective April 30, 1995; 22 SDR 6, effective July 26, 1995; 22 SDR 188, effective July 8, 1996; 23 SDR 109, effective January 5, 1997; 23 SDR 192, effective May 22, 1997; 24 SDR 144, effective April 30, 1998; 25 SDR 104, effective February 17, 1999; 28 SDR 1, effective July 18, 2001; 30 SDR 26, effective September 3, 2003; 31 SDR 39, effective September 29, 2004; 32 SDR 33, effective August 31, 2005; 34 SDR 68, effective September 12, 2007; 34 SDR 322, effective July 1, 2008; 42 SDR 51, effective October 13, 2015; 46 SDR 50, effective October 10, 2019; 47 SDR 38, effective October 6, 2020</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">; 48 SDR 39, effective October 3, 2021; 49 SDR 21, effective September 12, 2022; 50 SDR 63, effective November 27, 2023; 51 SDR 13, effective August 12, 2024</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">General Authority:</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">28-6-1</span></a><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">Law Implemented:</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">28-6-</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000002">1</span></a><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003"> </span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">Reference</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">s</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">:</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">International Classification of Diseases, 10th Revision, Clinical Modification</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">,</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0"> American Medical Association, August 30, 2023</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">. Copies may be obtained from the American Medical Association, </span><a href="https://commerce.ama-assn.org/store/ui"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C2">https://commerce.ama-assn.org/store/ui</span></a><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">; $</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">118.60</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">;</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003"> </span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">    </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0-000001">International Classification of Diseases, 10th Revision, Procedure Coding System</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">, </span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">American Medical Association, September 8, </span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">20</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">23</span><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">. Copies may be obtained from the American Medical Association, </span><a href="https://commerce.ama-assn.org/store/ui"><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C2">https://commerce.ama-assn.org/store/ui</span></a><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">; $</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">118.60</span><span class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87C0">.</span></p><p dir="ltr" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87P0"><span xml:space="preserve" class="scaa4b6fc-34eb-4a3d-8c2c-bf2956762c87000003"> </span></p></div></body></html>