<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div> <p align=center><b>CHAPTER 67:16:02</b></p> <p align=center><b>PHYSICIAN AND OTHER HEALTH SERVICES</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:01">67:16:02:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:01.01">67:16:02:01.01</a>&nbsp;&nbsp; Fee schedules for physician services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:02">67:16:02:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:03">67:16:02:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rate of payment.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:03.01">67:16:02:03.01</a>&nbsp;&nbsp; Reimbursement for multiple surgeries.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:03.02">67:16:02:03.02</a>&nbsp;&nbsp; Reimbursement for services containing modifier codes.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:03.03">67:16:02:03.03</a>&nbsp;&nbsp; Required modifier codes.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:04">67:16:02:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Physician's services covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05">67:16:02:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Other health services covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.01">67:16:02:05.01</a>&nbsp;&nbsp; Physical therapy services covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.02">67:16:02:05.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.03">67:16:02:05.03</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.04">67:16:02:05.04</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.05">67:16:02:05.05</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.06">67:16:02:05.06</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.07">67:16:02:05.07</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.08">67:16:02:05.08</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.09">67:16:02:05.09</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.10">67:16:02:05.10</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.11">67:16:02:05.11</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.12">67:16:02:05.12</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.13">67:16:02:05.13</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.14">67:16:02:05.14</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:05.15">67:16:02:05.15</a>&nbsp;&nbsp; Occupational therapy.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:06">67:16:02:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Health services not covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:07">67:16:02:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Utilization review for physician, laboratory, and X-ray services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:08">67:16:02:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:09">67:16:02:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sterilization.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:10">67:16:02:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Refractions and eyeglasses.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:11">67:16:02:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:12">67:16:02:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:13">67:16:02:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Audiological and speech pathology services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:14">67:16:02:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Reimbursement for services provided by nurse midwife or nurse anesthetist.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:15">67:16:02:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Reimbursement for services provided by nurse practitioner, clinical nurse specialist, or physician assistant.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:16">67:16:02:16</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Billing requirements -- Modifier codes -- Provider identification numbers.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:16.01">67:16:02:16.01</a>&nbsp;&nbsp; Billing requirements -- Implantable contraceptive capsules and obstetrical services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:17">67:16:02:17</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Claim requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:18">67:16:02:18</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:19">67:16:02:19</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Application of other chapters.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:0A">Appendix A</a>&nbsp; List of Physician Nonlaboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:0B">Appendix B</a>&nbsp; List of Physician Laboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:0C">Appendix C</a>&nbsp; Physician Medical Procedures -- Medicare Maximum Allowance; repealed, 34 SDR 68, effective September 12, 2007.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:0D">Appendix D</a>&nbsp; List of Modifier Codes for Physician Services, transferred to §&nbsp;67:16:02:03.03, effective September 12, 2007.</p> <p><a href="DisplayRule.aspx?Rule=67:16:02:0E">Appendix E</a>&nbsp; Clozaril Enrollment Information Form, repealed, 31 SDR 214, effective July 6, 2005.</p> </div> </body> </html>