Chapter 67:16:02 - Physician and other health services

Section 67:16:02:01 - Definitions
Section 67:16:02:01.01 - Fee schedules for physician services
Section 67:16:02:02 - Provider agreement. Repealed
Section 67:16:02:03 - Rate of payment
Section 67:16:02:03.01 - Reimbursement for multiple surgeries
Section 67:16:02:03.02 - Reimbursement for services containing modifier codes
Section 67:16:02:03.03 - Required modifier codes
Section 67:16:02:04 - Physician's services covered
Section 67:16:02:05 - Other health services covered
Section 67:16:02:05.01 - Physical therapy services covered
Section 67:16:02:05.02 - Breast reductions covered - Prior authorization required. Repealed
Section 67:16:02:05.03 - Clozaril therapy - Limits.Repealed
Section 67:16:02:05.04 - Documentation required before authorization given. Repealed
Section 67:16:02:05.05 - Requirements for monitoring clozaril therapy.Repealed
Section 67:16:02:05.06 - Requirements when clozaril therapy discontinued or suspended.Repealed
Section 67:16:02:05.07 - Requirements for augmentative communication device. Repealed
Section 67:16:02:05.08 - [Repealed]
Section 67:16:02:05.09 - [Repealed]
Section 67:16:02:05.10 - [Repealed]
Section 67:16:02:05.11 - Noninvasive bone-growth stimulation. Repealed
Section 67:16:02:05.12 - Cochlear implant - Prior authorization required. Repealed
Section 67:16:02:05.13 - [Repealed]
Section 67:16:02:05.14 - [Repealed]
Section 67:16:02:05.15 - Occupational therapy
Section 67:16:02:06 - Health services not covered
Section 67:16:02:07 - Utilization review for physician, laboratory, and X-ray services
Section 67:16:02:08 - Utilization review for transportation services. Repealed
Section 67:16:02:09 - Sterilization
Section 67:16:02:10 - Refractions and eyeglasses
Section 67:16:02:11 - [Repealed]
Section 67:16:02:12 - Transferred
Section 67:16:02:13 - Audiological and speech pathology services
Section 67:16:02:14 - Reimbursement for services provided by nurse midwife or nurse anesthetist
Section 67:16:02:15 - Reimbursement for services provided by nurse practitioner, clinical nurse specialist, or physician assistant
Section 67:16:02:16 - Billing requirements - Modifier codes - Provider identification numbers
Section 67:16:02:16.01 - Billing requirements - Implantable contraceptive capsules and obstetrical services
Section 67:16:02:17 - Claim requirements
Section 67:16:02:18 - [Repealed]
Section 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 Section 67:16:02:03.03, effective September 12, 2007
Appendix E - Clozaril Enrollment Information Form, repealed, 31 SDR 214, effective July 6, 2005