26,490 sections across 2,319 Louisiana regulatory chapters.
Chapter 53. Dental Care Services, Reimbursement Schedule and Billing Instructions-5317 Covered Services
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A. Only dental services necessitated by an occupational injury or illness are covered. Such services are provided as a result of damage to the teeth and/or dental work due to a work injury or exposure. In addition, dental appliances and prosthetics not originally purchased by the…
Chapter 53. Dental Care Services, Reimbursement Schedule and Billing Instructions-5319 Procedure Codes and Guidelines
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A. The Current Dental Terminology (CDT) is a listing of descriptive terms and identifying codes for reporting dental services and procedures and are used for processing claims benefits. CDT was developed to provide a standard and effective system of reporting dental services to t…
Chapter 53. Dental Care Services, Reimbursement Schedule and Billing Instructions-5321 Maximum Allowable Reimbursement
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A. Maximum Allowable Reimbursement lists the maximum payment allowed for dental items described by appropriate codes. Payment will be the least of: 1. the seventieth percentile in the current edition of the National Dental Advisory Service (NDAS) Comprehensive Fee Report, utilizi…