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Rods – General Exclusions

Rods – General Exclusions
    A. HEALTH BENEFITS
    (11) GENERAL EXCLUSIONS
    · Allergy
         –dust allergy apparatus, 78-178
         –tests/inpatient treatment, 84-467
    · Anesthesia services
         –dental procedure,81-095, 81-244, 84-367, 84-460
    · Biofeedback therapy,81-222, 81-643, 81-674
    · Black lung tests,78-319, 84-059, 84-284
    · Blood glucose monitoring,81-273
    · Contact lenses, 84-282
    · Custodial care, 78-249, 84-096, 84-283, 88-039, CA-001, CA-004, CA-011, CA-016, CA-019
         –covered under unusual circumstances, CA-058 
         –dentures, 84-396, 88-067
         –extensive surgical procedures, 78-096, 78-112, 81-672, 84-142, 84-532, 02-041
         — impacted wisdom teeth,78-023, 78-030, 81-038, 81-136, 84-172, 88-308, 88-764
         –implants, 84-362, 84-418, 84-442, 84-564, 88-217, 88-240, 88-397, CA-069
         –oral surgery, 81-259, 81-388, CA-007, 02-041
         –oral orthopedic appliance,81-544, 81-599, 81-655, 81-670, 81-676, 81-683, 84-070, 84-073, 84-315, 84-381, 88-080, 88-152, 88-355
         –outpatient hospitalization,78-017, 84-085
         –periodontal disease,78-076, 187, CA-025
         –root canals, 78-105, 84-594
         –teeth extractions, 84-603, 88-298, 88-323, 02-041, 07-0006
         –temporomandibular joint dysfunction (TMJ), 78-052, 78-067, 78-313, 81-233, 81-241, 81-544, 81-599, 81-670, 81-676, 81-683, 88-311
    · Dyslexia therapy, 93-068, 98-003
    · Exercise equipment
         –bicycle ergometer and pulsemeter, 81-415
         –exercise bicycle, 88-148
         –heart rate monitor, CA-020
         —treadmill,88-269
    · Experimental medical devices and therapy,78-254, 78-320, 81-082, 81-173, 81-222, 81-230, 81-273, 81-287, 81-581, 81-591, 81-592, 81-711, 84-123, 84-222, 88-008, 88-656, 11-0136, 16-0015
          –biofeedback therapy,81-643, 81-674
         –bone marrow transplant,88-364
         –emerging medical procedure, CA-082
         –light box for seasonal affective disorder, 88-652
         –Lung Volume Reduction Surgery (LVRS), CA-033
         –medication,84-123, 88-256
         –morphometric analysis, CA-032
         –percutaneous diskectomy,88-036
         –thermography,88-359, 88-390
         –Interspinous distraction device, 11-0136
        –Medicare LCD reference, 11-0136?
    · Eyeglasses/-surgically caused refractive error, 84-129, 84-231, 84-282
         –vision impaired by medical condition,84-514
    · Finance charges, 81-293, 81-516, 81-573, 88-666, 93-101
    · Heart rate monitor, see exercise equipment
    · Insulin infusion pump,81-273, 81-287
    · In vitro fertilization, 88-685
    · Iontophoresis, CA-082 
    · Medicare Part A & B,81-044, 84-497, 84-516
    · Mental deficiencies/ inpatient treatment,81-447
         –prescription drugs, 88-290
         –surgical reduction, 78-175, 84-247, 84-434, 88-114, 88-619
         –weight loss program, 81-238, 81-476, 84-573, 88-233, 88-313, 88-404, 88-700
         –excess skin, 07-0010
    · Obstetrical charges/ excessive fee, 78-029
    · Orthoptic (see heading under Vision Care)
    · Physical conditioning, 88-135, 88-242
    · Podiatrist services, routine care,84-079
    · Preexisting conditions,81-638, 88-326
    · Pregnancy,78-018
    · Private duty nursing, 84-283
    · Private room charges, 78-165, 81-307, 84-349, 84-533, 84-540, 88-167, 88-208
    · Private tutor, 98-023
    · Reversal of sterilization procedures, 78-241, 81-018, 81-078, 84-150
    · Services,
         –furnished by governmental, tax-support or voluntary agency, 93-068, 98-003
         –not specifically provided, 78-159, 81-161, 81-238, 81-273, 84-111, 84-170, 84-241, 88-135, 88-154, 88-242, 88-321
    · Services rendered after eligibility period ends, 78-239, 81-509, 84-078, 84-160, 84-190, 88-329
    · Special education, 81-161
    · Visual therapy (see Vision Care listing)
    · Wigs,88-154, 88-321, 07-0012
    · Workers’ compensation,78-036, 81-402, 81-575, 81-686, 84-090, 88-055, 88-525, 88-726