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. 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 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

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

  • Medically Necessary surgical treatment, as determined by CareFirst BlueChoice, for Temporomandibular Joint Syndrome (TMJ).

  • Medically Necessary surgical treatment, as determined by CareFirst, for Temporomandibular Joint Syndrome (TMJ).

  • 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.

  • Services for the evaluation and treatment of Temporomandibular Joint Syndrome (TMJ), whether the services are considered to be medical or dental in nature.

  • Temporomandibular Joint Syndrome (TMJ) 40% Yes Yes Therapeutic Treatments - Outpatient 40% Yes Yes Transplantation services must be received from a Designated Provider.

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