W. Va. Code R. § 64-69-5

Current through Register Vol. XLI, No. 43, October 25, 2024

Section 64-69-5 - Procedures Covered

5.1. Breast cancer related procedures covered by the fund include, but are not limited to:

5.1.a. Breast biopsy-needle core;

5.1.b. Breast biopsy-incisional;

5.1.c. Breast biopsy-excisional;

5.1.d. Breast biopsy-identified by radiological marker;

5.1.d.1. Each additional lesion;

5.1.e. Pre-op placement of needle localization wire;

5.1.f. Breast biopsy-stereotactic localization;

5.1.g. Needle localization-radiologic supervision/interpretation;

5.1.h. Radiological examination, surgical specimen;

5.1.i. Ultrasound guided biopsy;

5.1.j. Lab-needle biopsy;

5.1.k. Lab-surgical pathology breast tissue biopsy;

5.1.l. Stereotactic biopsy supplies;

5.1.m. Follow-up after procedure-outpatient;

5.1.n. Follow-up consultation-post-op outpatient; and

5.1.o. General anesthesia.

5.2. Cervical cancer related procedures covered by the fund include, but are not limited to:

5.2.a. Loop electrode excision procedure;

5.2.b. Biopsy or local excision of lesion;

5.2.c. Endocervical curettage;

5.2.d. Cryocautery of the cervix;

5.2.e. Laser surgery of the cervix;

5.2.f. Conization of the cervix;

5.2.g. Dilation and curettage-diagnostic and/or therapeutic;

5.2.h. Lab-cervical biopsy;

5.2.i. Follow-up after procedure-outpatient; and

5.2.j. General anesthesia.

W. Va. Code R. § 64-69-5