S.D. Admin. R. 67:16:02:01

Current through Register Vol. 51, page 54, October 28, 2024

Section 67:16:02:01 - Definitions

Terms used in this chapter mean:

(1) "Clinical nurse specialist," an individual who is licensed under SDCL 36-9-85 to perform the functions contained in SDCL 36-9-87, or an individual licensed or certified in another state to perform those functions;

(2) "Medical and other health services," any of the items or services covered in this chapter under the sections on physician's and other health services;

(3) "Nurse anesthetist," an individual who is qualified under SDCL 36-9-30.1 to perform the functions contained in SDCL 36-9-3.1, or an individual licensed or certified in another state to perform those functions;

(4) "Nurse midwife," an individual who is qualified under SDCL chapter 36-9 A to perform the functions contained in SDCL 36-9A-13, or an individual licensed or certified in another state to perform those functions;

(5) "Nurse practitioner," an individual who is qualified under SDCL chapter 36-9A to perform the functions contained in SDCL 36-9A-12, or an individual licensed or certified in another state to perform those functions;

(6) "Physician," a person licensed as a physician in accordance with the provisions of SDCL chapter 36-4 and qualified to provide medical and other health services under this chapter, or an individual licensed or certified in another state to perform those functions;

(7) "Physician assistant," an individual qualified and certified under the provisions of SDCL chapter 36-4 A, or an individual licensed or certified in another state to perform those functions;

(8) "Postoperative management only," performance of postoperative management by one physician or other licensed practitioner after another physician or other licensed practitioner has performed the surgical procedure;

(9) "Preoperative management only," performance of preoperative care and evaluation by one physician or other licensed practitioner before another physician or other licensed practitioner performs the surgical procedure;

(10) "Procedure codes," identifying numbers used in the submission of claims for medical, surgical, and diagnostic services;

(11) "Reduced services," those instances in which a service or procedure is partially reduced or eliminated at the physician or other licensed practitioners request; and

(12) "Unusual services," the situation under which the service provided is greater than that usually required for the procedure.

S.D. Admin. R. 67:16:02:01

SL 1975, ch 16; 44 SDR 94, effective 12/4/2017

General Authority: SDCL 28-6-1(1).

Law Implemented: SDCL 28-6-1(1)(2).