West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-29 - Health Insurance Benefits For Temporomandibular And Craniomandibular Disorders
Section 114-29-3 - Definitions
Current through Register Vol. XLI, No. 38, September 20, 2024
3.1. Temporomandibular Disorder(s) (TMD) -- means a group of musculoskeletal conditions, often overlapping, that involve the temporomandibular joint (TMJ) or joints, the masticatory musculature, or both. These conditions are typically characterized by pain in the preauricular area which is usually aggravated by chewing or jaw function, and are frequently accompanied, either singly or in combination, by limitation of jaw movement, joint sounds, palpable muscle tenderness or joint soreness. Although pain and dysfunction in the orofacial or craniofacial regions have multiple sources and etiologies that may coexist with temporomandibular disorders or show signs similar to those of temporomandibular disorders, temporomandibular disorders are limited to pain and dysfunction arising in and from the masticatory musculoskeletal system.
3.2. Craniomandibular Disorder(s) (CMD) -- means problems of the stomatognathic system and include disorders of the temporomandibular joint, muscles of mastication and the related occlusion.
3.3. Commissioner -- means the West Virginia Insurance Commissioner.
3.4. PEIA -- means the West Virginia Public Employees Insurance Agency.
