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RODS – PHYSICIANS’ SERVICES AND OTHER PRIMARY CARE

RODS – PHYSICIANS’ SERVICES AND OTHER PRIMARY CARE
A. HEALTH BENEFITS
(3) PHYSICIANS’ SERVICES AND OTHER PRIMARY CARE
· Allergy desensitization therapy, 78-320
· Allergy testing, 81-591
· Anesthesia services , 81-200, 81-293, 81-299, 81-322, 81-323, 81-559, 81-711, 84-260
     –malignant hyperthermia,88-116
     –nurse anesthetist, 88-395
     –preoperative evaluation, 84-583, 88-276
     –related to dental procedures, 78-187, 81-095, 81-139, 81-244, 81-259, 81-280, 81-408, 81-471, 84-105, 84-460, 84-594, 88-061, 88-101, 88-287, 88-728, 11-0140
· Artificial fertilization,84-241
· Assistant surgeon’s fee,78-159, 78-167, 81-563, 88-260, 88-276, 88-412, 93-067
     –medical necessity,88-043, 88-106, 88-449, 93-067
· Athletic trainer, 88-242
· Attention Deficit Disorder (ADD), 93-052
· Birth control-Norplant,88-627
· Blood pressure monitoring, 88-630, 88-466
· Cardiac rehabilitation, 81-406, 81-410, 81-415, 88-269
· Charges for writing a prescription, 84-224
· Chelation therapy,84-712, 88-128, 88-729,02-018
· Chemotherapy,78-187, 88-154, 88-256, 88-321
· Chiropractor services,78-229, 81-005, 81-253, 81-290, 84-306, 84-602, 84-662, 88-024, 88-126
     –x-rays, 78-109
· Cleft palate surgery,84-312, 88-002, 88-355
· Contact lenses after cataract surgery, 84-282
· Cosmetic surgery, 81-733, 84-242, 84-350, 84-424, 88-114, 88-209, 88-263, 88-280, 88-361, 88-402, 98-005, 07-0010 
· Dermatology services
     –alopecia areata,88-008
· Dyslexia,93-068
· Examinations for cancer,84-639
     –Magnetic Resonance Imaging (MRI), 88-117
     –PET Scans, 02-046, 07-0008, 07-015 
· Emergency room physician’s charges
–acute medical symptoms, 88-236, 88-435
–forty-eight (48) hour limitations on benefits, 78-081, 78-085, 81-048, 84-617, 07-0063, CA-0121, 11-0009
· Eye care services,88-012
· Immunizations, 84-413, 88-153, 88-371, 88-458, 88-592, 07-0017, 07-0061, 07-0064
· Impacted wisdom teeth,78-023, 78-030, 81-038, 81-136
· Incidental surgery,78-129, 81-156, 84-436, 88-070
     –tubal ligation, 81-656
· In-hospital visits, 78-061, 81-085, 81-447
· Injured during criminal activity, 78-202
· Intravenous antibiotic therapy, 88-028
· In vitro fertilization, 88-685
· Laboratory tests,81-175, 84-224, 84-280
     –blood typing, 84-581
     –chromatography, 93-046
     –dental in nature, 88-311
     –histocompatibility testing, 88-063
     –immunoassay, 93-046
     –muscle biopsy, 88-116
     –screening and diagnostic procedures,84-053, 84-059, 84-399, 84-628, 84-639, 07-0062 88-116, 88-117, 88-239, 88-306, 88-349, 88-423, 88-612, 88-806, CA-002, 07-048
     —visual field testing,84-628
     —HPV testing, 07-0075
· Laser,78-254, 81-711, 84-628, 93-061, 93-023
· Light box,88-652
· Mammogram, CA-035
· Mastectomy,88-637, 88-815
· Medical consultation, 84-583
· Nasal surgery,84-424, 88-280, 88-388, 88-668, 07-0057 
· Naturopathic services, 78-295
· Obesity treatment-nonsurgical, 78-104, 81-238, 81-476, 88-313
· Obstetrical charges
     –anesthesia,78-025
     –delivery services,81-301
     –excessive fee,78-029, 84-149
     –pregnancy discrimination act,78-073, 78-084, 171
· Office visits,84-224
     –medical necessity, 84-268, 88-482
     –bone grafts,84-559, 88-201, 88-303, CA-007
     –dental implants,84-362, 84-396, 84-418, 84-442, 84-564, 88-217, 88-240, 88-397, 88-399, 88-624, 93-091, CA-069
     –extensive noncovered procedures, 81-672, 84-411, 88-061, 88-621, 88-608, 02-041
     –mandibular augmentation,81-655, 84-332, 84-362, 84-396, 84-418, 88-227, 88-274, 88-303, 93-075
     –mandibular/maxillary osteotomy, 78-081, 78-056, 81-529, 81-672, 84-142, 84-286, 84-312, 84-402, 84-411, 84-439, 84-447, 84-476, 84-519, 84-532, 88-015, 88-021, 88-060, 88-095, 88-109, 88-125, 88-201, 88-211, 88-255, 88-272, 93-034
     –mandibular bone stapling,88-227
     –part of treatment of covered illness, 78-187, 78-201, 78-282, 84-312, 84-603, 84-697, 88-355, 02-041
     –sinus condition,93-091
     –whether required as the direct result of an accident, 78-094, 78-105, 78-240, 81-031, 81-385, 81-453, 84-086, 84-381, 88-122, 93-102, 11-0135
     –sleep apnea, in connection with, 88-356
     –teeth extractions, 78-017, 78-023, 78-129, 84-603, 84-666, 84-697, 88-288, 88-298, 88-308, 88-323, 93-013, 93-083, 93-086, 07-0006
     –temporomandibular joint dysfunction (TMJ), 78-052, 78-067, 78-313, 81-179, 81-233, 81-245, 81-388, 81-544, 81-599, 81-683, 84-118, 84-128, 84-156, 84-286, 84-315, 84-362, 84-402, 84-411, 84-419, 84-420, 84-462, 84-476, 84-496, 84-532, 84-630, 88-021, 88-060, 88-080, 88-109, 88-122, 88-142, 88-152, 88-211, 88-272, 88-303, 88-317, 88-319, 88-387, 88-426, 88-622, 93-076
     –tumors of the jaw,78-213, 84-697, 88-541, 88-489, 88-859
     –vestibuloplasty,81-056, 81-075, 88-303
· Organ transplant, 84-657, 81-404, 81-19
· Orthodontic services, 81-179, 81-544, 81-599, 81-655, 81-676, 81-683, 84-315, 84-381, 88-021, 88-080, 88-109, 88-122, 88-142, 88-152, 88-211, 93-024, 93-102, 02-009 
· Osteopathic physicians,88-126
· Periodontal disease,78-076, 78-091, 81-244
· Physical therapy, 81-334, 88-448, 93-047, CA-082 
     –ultrasound therapy,81-358
· Physician extender,81-110, 81-299, 81-322, 81-563, 84-260, 88-260, 88-276, 88-395, 88-412
· Podiatrist services,81-337, 81-432, 81-455, 84-081, 88-760
     –assistant surgeon,78-159
     –minor surgery,81-337, 84-296, 88-816
     –noncovered routine care,84-079
· Polysomnography testing,88-655
· Pregnancy, termination, 84-149
· Pulmonary impairment, 84-059, 84-284
· Radial keratotomy,84-222, 84-408, 88-579, 88-723, 93-061
· Specialist care,78-067, 78-320, 84-496
     –optometrist care, 88-012
· Surgical benefits, 84-242, 88-002, 11-0083, 16-0015 
     –percutaneous diskectomy, 88-036
     –-radiofrequency sympathectomy,88-566
· Surgical services limitations
     –blepharoplasty,84-242, 84-348
     –collagen injections, 88-209
     –cosmetic surgery, 78-318, 81-310, 81-733, 84-348, 84-424, 88-114, 88-209, 88-263, 88-280,
     –incidental concurrent surgery,81-156, 84-436, 88-070
     –mammoplasty, 78-318, 81-551, 88-263, 88-402, 88-420, 98-026
     –organ transplant, 81-404, 84-657, 88-364, 11-0083
     –plastic surgery, 78-318, 84-510, 88-209, 88-361, 88-402, 88-637, 88-815
     –prosthesis for cleft palate, 88-002
     –reconstructive surgery, 84-350, 84-510, 88-637, 88-815
     –treatment of obesity,78-138, 78-168, 78-175, 78-296, 81-134, 81-212, 84-071, 84-247, 84-254, 84-363, 84-383, 84-434, 84-633, 02-034
· Varicose veins, 88-604, 88-826, 07-0023
· Vision testing, 88-675
· Warts, 81-711, 84-079, 88-816
· Wig, 88-154, 88-321, 07-0012