Consistent application of these rules improves the accuracy and fairness of our payment of benefits.
| item/procedure | reference |
|---|---|
| Allergy | pg 85 |
| Anesthesia | pg 85 |
| Bilateral Procedures | pg 85 |
| Biomechanical Exam | pg 85 |
| Breast Pumps | pg 86 |
| Cast Material | pg 86 |
| Injections | pg 86 |
| Laboratory Handling | pg 87 |
| Maternity | pg 87 |
| Mileage (for house calls, nursing facility and/or domiciliary) | pg 87 |
| State Supplied Vaccine/Toxoid | pg 87 |
| Supplies | pg 87 |
| Surgical Assistant | pg 87 |
| Surgical Trays | pg 87 |