<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.s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0 { 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.s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0 { background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001 { background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002 { background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=47:03:05:01"><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000000">47:03:05:01</span></a><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">.  Definitions. </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">Terms used in this chapter mean:</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (1)  "Anesthesia services," administration of any drug or combination of drugs with the purpose of creating sedation or analgesia;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (2)  "Base unit value," the number value assigned to services in </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">Relative Values for Physicians</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (3)  "Dental services," the examination, diagnosis, treatment, planning, and care of conditions within the human oral cavity and its adjacent tissues and structures, for any disease, pain, deformity, deficiency, injury, or physical condition of the human tooth, teeth, alveolar process, gums, or jaw or adjacent or associated structures;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (4)  "Department," the Department of Labor and Regulation;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (5)  "Employee," an employee entitled to medical services, dental services, or treatment for a compensable injury or disability </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">pursuant to</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=62-4-1"><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000003">62-4-1</span></a><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (6)  "Insurer," an entity providing workers' compensation insurance, including self-insured employers;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">7</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Medical services" or "treatment," a procedure, operation, consultation, supply, or product provided for the purpose of curing or relieving an employee of the effects of a compensable injury or disability;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">8</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Physical status modifier unit value," the number value assigned to physical status modifiers for anesthesia services in </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">Relative Values for Physicians</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">9</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Procedure code," a numerical code used to identify a specific medical service, article, or supply;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (1</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">0</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Qualifying circumstances unit value," the number value assigned to qualifying circumstances for anesthesia services in </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">Relative Values for Physicians</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">;</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (1</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">1</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Unit value," the number value assigned to a dental service in </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">Relative Values for Dentists;</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> and</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    (1</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">2</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">)  "Usual and customary charges," charges or fees that prevail in the community regardless of payer source.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">Source:</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> 21 SDR 67, effective October 13, 1994; 23 SDR 23, August 22, 1996; 24 SDR 7, effective July 30, 1997; 25 SDR 72, effective November 22, 1998; 32 SDR 209, effective June 14, 2006; 33 SDR 226, effective June 27, 2007; 34 SDR 310, effective June 19, 2008; 38 SDR 105, effective December 12, 2011; 39 SDR 219, effective June 26, 2013</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">; 42 SDR 177, effective June 28, 2016; 43 SDR 181, effective July 7, 2017; 44 SDR 185, effective June 25, 2018</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">; 47 SDR 42, effective October 14, 2020</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">; 52 SDR 48, effective November 17, 2025</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">General Authority:</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=62-7-8"><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000003">62-7-8</span></a><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">Law Implemented:</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=62-7-8"><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000003">62-7-8</span></a><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">References:</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">Relative Values for Dentists</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">, 20</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">24</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">, Relative Value Studies, Inc. Copies may be obtained from Relative Value Studies, Inc.,</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">12921 S. Vista Station Blvd., Ste 200, Draper, UT 84020</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">.</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> Available for order by telephone at 1-800-464-3649, option 1. Cost: $700 base cost, plus an additional $25 per user.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">    </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0-000001">Relative Values for Physicians</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">, </span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">2025, </span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">Relative Value Studies, Inc.</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> Copies may be obtained from Relative Value Studies, Inc., 12</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">921 S. Vista Station Blvd., Ste 200, Draper, UT 84020</span><span class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0">.</span><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aC0"> Available for order by telephone at 1-800-464-3649, option 1. Cost: $1,500 base cost, plus an additional $40 per user.</span></p><p dir="ltr" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0aP0"><span xml:space="preserve" class="s98d49753-d92a-45c4-bed0-bf3af6bebe0a000002"> </span></p></div></body></html>