INFERTILITY - HEALTH CARE FACILITY SERVICES (TESTING, ULTRASOUND, SPERM WASH, STORAGE, SHIPPING, FACILITY FEES)

INFERTILITY - HEALTH CARE FACILITY SERVICES (TESTING, ULTRASOUND, SPERM WASH, STORAGE, SHIPPING, FACILITY FEES)

Benefit Code Number
101548
Program of Choice
05 - Hospital service
Province
Alberta
Prescriber Required
Medical Doctor
Recommender Required
No
Preauthorization Required
Yes
Provincial Coverage
No
Comments
SEE NOTE 6
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". NURSE PRACTITIONERS (NP) MAY PRESCRIBE POC 13 ITEMS IN PROVINCES IN WHICH THE PROFESSION IS REGULATED. SEMI-PRIVATE AND PRIVATE ACCOMMODATIONS MUST BE REQUIRED DUE TO MEDICAL NECESSITY, ORDERED BY AN "MD" AND PRE-AUTHORIZED BY VAC. SPECIAL NOTES