Terms used in this chapter mean:

1. (1) "Anesthesia services," administration of any drug or combination of drugs with the purpose of creating sedation or analgesia;
2. (2) "Base unit value," the number value assigned to services in Relative Values for Physicians;
3. (3) "Dental services," the examination, diagnosis, treatment, planning, and care of conditions within the human oral cavity and its adjacent tissues and structures, for any disease, pain, deformity, deficiency, injury, or physical condition of the human tooth, teeth, alveolar process, gums, or jaw or adjacent or associated structures;
4. (4) "Department," the Department of Labor and Regulation;
5. (5) "Employee," an employee entitled to medical services, dental services, or treatment for a compensable injury or disability pursuant to SDCL 62-4-1;
6. (6) "Insurer," an entity providing workers' compensation insurance, including self-insured employers;
7. (7) "Medical services" or "treatment," a procedure, operation, consultation, supply, or product provided for the purpose of curing or relieving an employee of the effects of a compensable injury or disability;
8. (8) "Physical status modifier unit value," the number value assigned to physical status modifiers for anesthesia services in Relative Values for Physicians;
9. (9) "Procedure code," a numerical code used to identify a specific medical service, article, or supply;
10. (10) "Qualifying circumstances unit value," the number value assigned to qualifying circumstances for anesthesia services in Relative Values for Physicians;
11. (11) "Unit value," the number value assigned to a dental service in Relative Values for Dentists; and

12. (12) "Usual and customary charges," charges or fees that prevail in the community regardless of payer source.

    References: Relative Values for Dentists, 2024, Relative Value Studies, Inc. Copies may be obtained from Relative Value Studies, Inc., 12921 S. Vista Station Blvd., Ste 200, Draper, UT 84020. Available for order by telephone at 1-800-464-3649, option 1. Cost: $700 base cost, plus an additional $25 per user.

    Relative Values for Physicians, 2025, Relative Value Studies, Inc. Copies may be obtained from Relative Value Studies, Inc., 12921 S. Vista Station Blvd., Ste 200, Draper, UT 84020. Available for order by telephone at 1-800-464-3649, option 1. Cost: $1,500 base cost, plus an additional $40 per user.

Source: 21 SDR 67, effective October 13, 1994; 23 SDR 23, August 22, 1996; 24 SDR 7, effective July 30, 1997; 25 SDR 72, effective November 22, 1998; 32 SDR 209, effective June 14, 2006; 33 SDR 226, effective June 27, 2007; 34 SDR 310, effective June 19, 2008; 38 SDR 105, effective December 12, 2011; 39 SDR 219, effective June 26, 2013 ; 42 SDR 177, effective June 28, 2016; 43 SDR 181, effective July 7, 2017; 44 SDR 185, effective June 25, 2018 ; 47 SDR 42, effective October 14, 2020 ; 52 SDR 48, effective November 17, 2025 .

General Authority: SDCL 62-7-8 .

Law Implemented: SDCL 62-7-8 .

Prior versions effective: 2020-10-14, 2018-06-25, 2017-07-07, 2016-06-28, 2013-06-26.