67:16:03:06.13.  Items and services not included in reimbursement rate for outpatient surgical services covered under chapter 67:16:28 and paid under the provisions of chapter 67:16:03. Outpatient surgical services covered under § 67:16:28:04 and reimbursed under this chapter do not include items and services for which payment may be made under other provisions of this article, such as physician services, certified registered nurse anesthetist services, laboratory services, X ray or imaging procedures, prosthetic devices, ambulance services, orthotic devices, recovery and observation room charges if the patient is required to stay in excess of 12 hours after the completion of the surgical procedure, and durable medical equipment for use in the patient's home, unless they are specifically included under § 67:16:03:06.12.

          Source: 23 SDR 232, effective July 10, 1997; 35 SDR 49, effective September 10, 2008.

          General Authority: SDCL 28-6-1.

          Law Implemented: SDCL 28-6-1.