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Governing Rules
Health Service Codes
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Explanatory Codes
Governing Rules
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1
DEFINITIONS
2
APPLICATIONS
3
EXCLUSIONS
4
VISITS AND CONSULTATIONS
5
EMERGENCY/URGENT/CRITICAL CARE
6
PROCEDURES
7
RECONSTRUCTIVE PLASTIC SURGERY
8
OBSTETRICS AND GYNECOLOGY
9
OPHTHALMOLOGY
10
DENTAL/ORAL SURGICAL RELATED SERVICES
11
LABORATORY/PATHOLOGY/RADIOLOGY
12
ANESTHESIA
12.1
12.2
12.3
12.4
12.5
TIME RELEASE CLAUSE
12.6
Deleted
12.7
12.8
Deleted
12.9
12.10
13
SURGICAL ASSISTANCE BENEFITS
14
TRAY SERVICE
15
OFF HOURS PREMIUM BENEFITS
16
Deleted
17
TELEHEALTH
18
BODY MASS INDEX (BMI)
19
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Governing Rule: 12.8
Deleted
Health Service Codes
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Explanatory Codes
Exp. Codes
Governing Rules
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