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The division will not separately reimburse for radiologic contrast material except for low osmolar contrast material (LOCM) used in intrathecal, intravenous, and intra-arterial injections for a recipient with
(1) a history of previous adverse reaction to contrast material other than a sensation of heat, flushing, or a single episode of nausea or vomiting;
(2) a history of asthma or allergy;
(3) significant cardiac dysfunction, including recent or imminent cardiac decompensation, severe arrhythmias, unstable angina pectoris, recent myocardial infarction, or pulmonary hypertension;
(4) general severe debilitation; or
(5) sickle cell disease.
History: Eff. 2/1/97, Register 141
Authority: AS 47.05.010
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Last modified 7/05/2006