N.Y. Comp. Codes R. & Regs. Tit. 12 § 324.5 - Conditions, treatments, or diagnostic tests not addressed by medical treatment guidelines
If the medical treatment guidelines do not address a condition, treatment or diagnostic test for a part of the body covered by the medical treatment guidelines, then the factors in section 324.3(a)(3) of this Part and relevant medical literature as described in section 324.3(a)(4) of this Part shall be used to determine whether the insurance carrier or special fund shall be obligated or not obligated to pay for the medical care at issue.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.