Nz Legal Ages
November 25, 2022
Office of the President Legal Affairs
November 25, 2022

Obra Social Luis Pasteur Domicilio Legal

7 Chapter IX: Radiology In any case, the reason, the associated practice and the suspected diagnosis must be indicated. Cods are detected. intraoral radiology according to the rules of national nomenclature. Endorsements, surgery and Rxs code should not be charged, as their value is included in each practice. Code: cephalometric teleradiography. Cephalometric traceability is not included. Beneficiaries between the ages of 9 and 18 are insured. Code: Cephalometric study. Requires PRIOR APPROVAL. One is per affiliate and is only allowed once. Chapter X: Surgery In the case of interventions in which an assistant activity is envisaged, their cooperation may be necessary for duly justified reasons, leaving a file in the clinical history and / or dental record and applying for the appropriate social work permit. Code: Add Rx. preoperative (included in the value of practice).

Code: Cannot be associated with any other practice (01.04,03.01,03.02,10.01). Code: For its detection, it is necessary to attach a photocopy of the pathological anatomy protocol. Code: It is recognized only in conjunction with the practice that justifies its realization in the same accounting. Code: Add preoperative Rx. (included in practice value). Code: Join Rx. pre- and postoperative (included in the value of practice). Code: Join Rx.

pre- and postoperative (included in the value of practice). Code: Frenectomy. Code: extraction of the retained tooth. (mucus displacement). Add Rx. Preoperative (included in the practice value). Code: extraction of the retained tooth. (bone retention). Include preoperative Rx.

(included in practice value). Reference number: Radectomy. Include pre- and postoperative Rx. (included in the practice value). Code: Autotransplantation of dental germs. Include pre- and postoperative Rx. (included in the practice value). Code: Elimination of paraprosthetic hyperplasia.

Code: removal of jaw cysts. Rx. pre- and postoperative (included in the value of practice). Code: Corrective or stabilizer alvevotomy by zone (4 sectors). Chapter XI: Stomatology Code: Lesions of the oral mucosa. (Epulis, papilloma, cancerous ulcers, cheilitis, glossitis, herpes ginger stomatitis, mycosis, chickenpox, shingles, precancerous and cancerous lesions). Includes diagnostic consultation, indication of treatment. It is permitted to charge up to two (2) monthly codes per affiliate.

6 Chapter VIII: Periodontics The codes, 08.03, 08.04, 08.05, and are exclusive practices for specialists. Code: Contains the code It is recognized only with the code and is recognized every 3 years. Cód: Treatment of chronic marginal gingivitis. Contains code The code cannot be charged It is recognized every six (6) months. Cód: Treatment of mild or moderate destructive periodontitis: Exclusive practice for specialists. It includes coded and root smoothing, gingivectomy or eventual flap, mucogingival surgery and transplantation. By sector. At least four rooms per sector.

It is supported to group pieces to form a sector. The sector number must be specified on the Roman numerals tab. Three (3) year warranty. It is detected with preoperative radiographs and properly prepared periodontal recordings. The Rxs. remain in the professional`s file for a period of three (3) years to be consulted each time the dental audit so requests; and the periodontal record must be sent to the social service attached to the dental record at the time of payment. Cód: Treatment of severe destructive periodontitis. Exclusive practices for specialists Includes root codes and smoothing, gingivectomy or eventual flap, mucogingival surgery and transplantation.

By sector. At least four rooms per sector. It is supported to group pieces to form a sector. The sector number must be specified on the Roman numerals tab. Three (3) year warranty. It is detected with preoperative radiographs and properly prepared periodontal recordings. The Rxs. remain in the professional`s file for a period of three (3) years to be consulted each time the dental audit so requests; and the periodontal record must be sent to the social service attached to the dental record at the time of payment. Code: Selective wear or occlusal harmonization.

Exclusive practice for specialists It is recognized when the study of occlusion and the analysis of traumatic factors are detailed. Otherwise, the practice will be burdensome. It will only be charged with related practices (Chapter VIII). Cód: Maintenance advice after treatment. Exclusive practice for specialists It is recognized once a year, provided that there is a code or from the same provider. Contains coded and Cód: treatment of the mandibular joint Temporo. Insured only for beneficiaries based in Bahía Blanca and La Plata and only by professionals. A PRIOR permit must be requested, for which you must attach a suspicious diagnosis.

Including preparation and installation of corrective orthotics. Code: Removable occlusion plates in acrylic. Contains a single blade and subsequent controls. Three (3) year warranty. The loss of the installed equipment or their breakage due to causes inherent in misuse of it will be borne by the Affiliate. 2 Rules of attention and invoicing For the billing of the services provided, the social work file is used, the model of which is attached and which can be requested as stationery in this FOPBA. It must indicate all the data requested, including the date of birth, and the date of execution of each service with day / month / year. It is not necessary to indicate the value of each practice or quota. The plan to which the patient belongs must be infallibly recorded in the file, otherwise it will be sent back for completion. Any service submitted for review and billing after 60 days of completion will be charged after the deadline.

Social work does not accept debit requests made after 60 days of notification, nor does it accept re-invoicing of services after 120 days after they have been completed. The reference to the specialist must be made in the prescription book, indicating the tooth, and for billing, the reference prescription must be attached to the dentist`s file. Radiological references should be made in the radiological order of FOPBA. Chapter I: Code Consultations: It is billed only once per member and for life. It should not be billed by specialists who practice practices derived from another provider. They are only recognised if the specified practice is not practised and if the specialist does not practise in the same professional domicile as the derivative. Omitting the creation of the dental record will put a strain on what is billed in the entire file. Code: The diagnosis and the element that motivates the consultation must be recorded in all cases. Code: Preventive advice. This is a regular consultation every six (6) months to monitor the oral condition of the previously treated patient. For recognition, the affiliate must have a code from the same provider. You cannot be charged for another practice in the same month.

Code: School oral examination. Chapter II: Dental Surgery The classification of fillings is eliminated, leaving only one type of restoration with the greatest complexity, that is, it is checked and paid for per piece treated, regardless of its type and the material used. Restorations must have a minimum duration of three (3) years. Meanwhile, name 1 of the social work of Luis Pasteur`s health management staff will not be paid. Area of application The entire provincial territory with the exception of the metropolitan area of Buenos Aires, Marcos Paz, Pilar, Escobar and Zarate. Beneficiary identification Eligibility for one of the plans with dental coverage and identification. Plans with dental coverage, recognizable by the letter on the front of the ID, are listed below. Plans V, S, P, E, N, L, J, I, M.