Temporomandibular Joint Syndrome definition

Temporomandibular Joint Syndrome or “TMJS” means muscle tension and spasms related to the temporomandibular joint, facial, and cervical muscles, causing pain, loss of function, and neurological dysfunction.
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Temporomandibular Joint Syndrome or “TMJS” means muscle tension and spasms related to the temporomandibular joint, facial, and cervical muscles, causing pain, loss of function and neurological dysfunction. Covered Services: • Medical care or services to treat dysfunction or TMJS resulting from a medical cause or Injury. • Office visits for medical evaluation and treatment. • X-rays of the temporomandibular joint including contrast studies, but not dental x-rays. • Myofunctional therapy. • Surgery to the temporomandibular joint, such as condylectomy, meniscectomy, arthrotomy, and arthrocentesis. Coverage Limitations: • See the Temporomandibular Joint Dysfunction or Syndrome category of your Schedule of Out-of-Pocket Expense for specific limitations to this benefit. Non-Covered Services: • Bite splints, orthodontic treatment, or other dental services to treat TMJS are not covered. Vision Care Services Covered Services: • One vision screening, performed as part of a physical exam, during each Plan Year to determine vision loss. • Eyeglasses, eyeglass frames, (all types of contact lenses if Medically Necessary) or corrective lenses every two (2) years for adults and yearly for children up to the age of 18 years. • Refractions Coverage Limitations: • Refractions are limited to one time per Plan Year. • Eyeglass frames are limited to a specific selection. • Contact lenses are covered for Medically Necessary reasons only. • Coverage limited exclusively In Total Health Care USA Network Non-Covered Services: • Eye exercises, visual training, orthoptics, sensory integration therapy. • Radial keratotomy, laser surgeries and other refractive keratoplasty. • All other vision care services and supplies Hearing Care Services Covered Services: • One hearing screening, performed as part of a physical exam, during each Plan Year to determine hearing loss. • Services and supplies related to hearing care, including ear plugs, external BAHA devices, hearing aids and adjustments • Examinations for hearing aids.
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Temporomandibular Joint Syndrome or "TMJ" means muscle tension and spasm related to the temporomandibular joint, facial, and cervical muscles, causing pain, loss of function and neurological dysfunction. The following services are covered when approved in advance by UnitedHealthcare Community Plan:
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Examples of Temporomandibular Joint Syndrome in a sentence

  • Diagnosis, therapeutic, or surgical procedures related to Temporomandibular Joint Syndrome (TMJ) and associated musculature and neurological conditions.

  • This Benefit does not include damage to the natural teeth that is not accidental, e.g., resulting from chewing or biting.3. Medically Necessary non-surgical treatment (e.g., splint and Physical Therapy) of Temporomandibular Joint Syndrome (TMJ);4.

  • Treatment of fractures or dislocations; congenital malformations; malignancies, cysts, or neoplasms; or Temporomandibular Joint Syndrome (TMJ).

  • Temporomandibular Joint Syndrome (TMJ) Diagnosis, therapeutic, or surgical procedures related to Temporomandibular Joint Syndrome (TMJ) and associated musculature and neurological conditions.

  • Eyeglasses or contact lenses (except when used as a prosthetic lens replacement for aphakic patients as in this Evidence of Coverage), dental prostheses or appliances (except for Medically Necessary treatment of Temporomandibular Joint Syndrome (TMJ)).

  • Temporomandibular Joint Syndrome (TMJ) is the treatment of jaw joint disorders including conditions of structures linking the jawbone and skull and the complex of muscles, nerves and other tissues related to the temporomandibular joint.

  • The following services for the diagnosis and treatment of Temporomandibular Joint Syndrome (TMJ): surface electromyography; Doppler analysis; vibration analysis; computerized mandibular scan or jaw tracking; craniosacral therapy; orthodontics; occlusal adjustment; and dental restorations.

  • Surgical Center, see Ambulatory Surgical Center Temporomandibular Joint Syndrome (TMJ) is the treatment of jaw joint disorders including conditions of structures linking the jawbone and skull and the complex of muscles, nerves and other tissues related to the temporomandibular joint.

  • Benefits are available to You for the diagnosis, therapeutic, or surgical procedures related to Temporomandibular Joint Syndrome (TMJ) and associated musculature and neurological conditions.

  • This Benefit does not include damage to the natural teeth that is not accidental, e.g., re- sulting from chewing or biting.3. Medically Necessary non-surgical treatment (e.g., splint and Physical Therapy) of Temporomandibular Joint Syndrome (TMJ);4.

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