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CHAPTER 67:16:02

PHYSICIAN AND OTHER HEALTH SERVICES

Section

67:16:02:01        Definitions.

67:16:02:01.01   Fee schedules for physician services.

67:16:02:02        Repealed.

67:16:02:03        Rate of payment.

67:16:02:03.01   Reimbursement for multiple surgeries.

67:16:02:03.02   Reimbursement for services containing modifier codes.

67:16:02:03.03   Required modifier codes.

67:16:02:04        Physician's services covered.

67:16:02:05        Other health services covered.

67:16:02:05.01   Physical therapy services covered.

67:16:02:05.02   Repealed.

67:16:02:05.03   Repealed.

67:16:02:05.04   Repealed.

67:16:02:05.05   Repealed.

67:16:02:05.06   Repealed.

67:16:02:05.07   Repealed.

67:16:02:05.08   Repealed.

67:16:02:05.09   Repealed.

67:16:02:05.10   Repealed.

67:16:02:05.11   Repealed.

67:16:02:05.12   Repealed.

67:16:02:05.13   Repealed.

67:16:02:05.14   Repealed.

67:16:02:05.15   Occupational therapy.

67:16:02:06        Health services not covered.

67:16:02:07        Utilization review for physician, laboratory, and X-ray services.

67:16:02:08        Repealed.

67:16:02:09        Sterilization.

67:16:02:10        Refractions and eyeglasses.

67:16:02:11        Repealed.

67:16:02:12        Transferred.

67:16:02:13        Audiological and speech pathology services.

67:16:02:14        Reimbursement for services provided by nurse midwife or nurse anesthetist.

67:16:02:15        Reimbursement for services provided by nurse practitioner, clinical nurse specialist, or physician assistant.

67:16:02:16        Billing requirements -- Modifier codes -- Provider identification numbers.

67:16:02:16.01   Billing requirements -- Implantable contraceptive capsules and obstetrical services.

67:16:02:17        Claim requirements.

67:16:02:18        Repealed.

67:16:02:19        Application of other chapters.

Appendix A  List of Physician Nonlaboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007.

Appendix B  List of Physician Laboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007.

Appendix C  Physician Medical Procedures -- Medicare Maximum Allowance; repealed, 34 SDR 68, effective September 12, 2007.

Appendix D  List of Modifier Codes for Physician Services, transferred to ยง 67:16:02:03.03, effective September 12, 2007.

Appendix E  Clozaril Enrollment Information Form, repealed, 31 SDR 214, effective July 6, 2005.


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