Diagnostic Services. Procedures ordered by a recognized Provider because of specific symptoms to diagnose a specific condition or disease. Some examples include, but are not limited to:
Diagnostic Services. All necessary procedures to assist the dentist in evaluating the existing conditions to determine the required dental treatment, including: Oral examinations Consultations
Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care Service. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to higher Member out-of-pocket expenses.
Diagnostic Services. Indicated diagnostic services that can be considered every 3 months for individuals with special healthcare needs are denoted with an asterisk.
Diagnostic Services that is, tests performed to diagnose your condition because of your symptoms or to determine the progress of your illness or injury.
Diagnostic Services. 1. Dental examinations, visits and consultations two (2) times per Plan Year..
2. X-rays. Benefits will be provided for the following radiographs: Intra oral complete (full) series or panoramic film will be provided once every three (3) years unless specifically requested by us. • Intra-oral periapicals. First film and additional films. • Intra-oral occlusals. Two films will be provided per plan year. • Bitewings. One set of two or four films will be provided once per plan year.
Diagnostic Services. Indicated diagnostic services that can be considered every 3 months for individuals with special healthcare needs are denoted with an asterisk. Clinical oral evaluations once every 6 months * Comprehensive oral evaluation– complete evaluation which includes a comprehensive and thorough inspection of the oral cavity to include diagnosis, an oral cancer screening, charting of all abnormalities, and development of a complete treatment plan allowed once per year with subsequent service as periodic oral evaluation Periodic oral evaluation – subsequent thorough evaluation of an established patient* Oral evaluation for patient under the age of 3 and counseling with primary caregiver* Limited oral evaluations that are problem focused Detailed oral evaluations that are problem focused Diagnostic Imaging with interpretation A full mouth series can be provided every 3 years. The number of films/views expected is based on age with the maximum being 16 intraoral films/views. An extraoral panoramic film/view and bitewings may be substituted for the full mouth series with the same frequency limit. Additional films/views needed for diagnosing can be provided as needed. Bitewings, periapicals, panoramic and cephlometric radiographic images Intraoral and extraoral radiographic images Oral/facial photographic images Maxillofacial MRI, ultrasound Cone beam image capture Tests and Examinations Viral culture Collection and preparation of saliva sample for laboratory diagnostic testing Diagnostic casts – for diagnostic purposes only and not in conjunction with other services Oral pathology laboratory Accession/collection of tissue, examination – gross and microscopic, preparation and transmission of written report Accession/collection of exfoliative cytologic smears, microscopic examination, preparation and transmission of a written report Other oral pathology procedures, by report * Indicates preventive services that can be considered every 3 months for individuals with special healthcare needs are denoted with an asterisk. Dental prophylaxis once every 6 months* Topical fluoride treatment once every 6 months – in conjunction with prophylaxis as a separate service* Fluoride varnish once every 3 months for children under the age of 6 Sealants, limited to one time application to all occlusal surfaces that are unfilled and caries free, in premolars and permanent molars. Replacement of sealants can be considered with prior authorization. Space maintainers – to maintain space for er...
Diagnostic Services. Oral examinations and consultations twice in a fiscal year.
Diagnostic Services. Non-patient-specific professional services associated with machine or other testing including oversight of a medical laboratory to assure timeliness, reliability, and usefulness of test results and overseeing calibration of laboratory testing equipment.
Diagnostic Services. The Plan provides Benefits for Diagnostic Services, including diagnostic laboratory tests and x- rays, when they are ordered by a Provider to diagnose specific signs or symptoms of an illness or injury. Services not defined as Preventive Care under section 4.B.55 will be considered Diagnostic Services. Services covered under this section include the services of a Physician with a specialty in radiology.
