Incidental Procedure. (1) An incidental procedure is one carried out at the same time as a more complex primary procedure and which requires little additional Physician resources and/or is clinically integral to the performance of the primary procedure. (2) The Allowable Charge for the primary procedure includes coverage for the incidental procedure(s). If the primary procedure is not covered, any incidental procedure(s) will not be covered.
Appears in 4 contracts
Samples: Comprehensive Major Medical Contract, Individual Comprehensive Major Medical Contract, Individual Hospital, Surgical and Medical Contract
Incidental Procedure. (1) An incidental procedure is one Incidental procedures are carried out at the same time as a more complex primary procedure and which requires procedures, require little additional Physician resources and/or is resources, or are clinically integral to the performance of the primary procedure.
(2) The Allowable Charge Charges for primary procedures include incidental procedures. If Your Plan does not cover the primary procedure includes coverage for the incidental procedure(s). If the primary procedure is not coveredprocedure, any incidental procedure(s) it will not be coveredcover incidental procedures.
Appears in 2 contracts
Samples: Cancer and Serious Disease Limited Benefit Contract, Limited Benefit Contract