405 IAC 5-26-10 Surgical procedures; confirmatory consultations

Sec. 10. (a) Providers may be required, based upon the facts of the case, to obtain a confirmatory consultation in accordance with 405 IAC 5-8 substantiating the medically necessary service or approach for the following surgical procedures: (1) Bunionectomy procedures. (2) All surgical procedures involving the foot. (b) The confirmatory consultation is required regardless of the surgical setting in which the surgery is to be performed, including ambulatory surgical treatment center, hospital, clinic, or office.