DHS 107.21(1)(b)5.e. e. Height and weight measurement;

DHS 107.21(1)(b)5.f. f. Abdominal examination;

DHS 107.21(1)(b)5.g. g. Pelvic examination; and

DHS 107.21(1)(b)5.h. h. Examination of extremities.

DHS 107.21(1)(c) (c) Laboratory and other diagnostic services. Laboratory and other diagnostic services are covered services as indicated in this paragraph. These services may be performed in conjunction with an initial examination with health history, and are the following:

DHS 107.21(1)(c)1. 1. Routinely performed procedures:

DHS 107.21(1)(c)1.a. a. CBC, or hematocrit or hemoglobin;

DHS 107.21(1)(c)1.b. b. Urinalysis;

DHS 107.21(1)(c)1.c. c. Papanicolaou smear for females between the ages of 12 and 65;

DHS 107.21(1)(c)1.d. d. Bacterial smear or culture (gonorrhea, trichomonas, yeast, etc.) including VDRL — syphilis serology with positive gonorrhea cultures; and

DHS 107.21(1)(c)1.e. e. Serology;

DHS 107.21(1)(c)2. 2. Procedures covered if indicated by the recipient’s health history:

DHS 107.21(1)(c)2.a. a. Skin test for TB;

DHS 107.21(1)(c)2.b. b. Vaginal smears and wet mounts for suspected vaginal infection;

DHS 107.21(1)(c)2.c. c. Pregnancy test;

DHS 107.21(1)(c)2.d. d. Rubella titer;

DHS 107.21(1)(c)2.e. e. Sickle-cell screening;

DHS 107.21(1)(c)2.f. f. Post-prandial blood glucose; and

DHS 107.21(1)(c)2.g. g. Blood test for cholesterol, and triglycerides when related to oral contraceptive prescription;

DHS 107.21(1)(c)3. 3. Diagnostic and other procedures not for the purpose of enhancing the prospects of fertility in males or females;

DHS 107.21(1)(c)3.a. a. Endometrial biopsy when performed after a hormone blood test;

DHS 107.21(1)(c)3.b. b. Laparoscopy;

DHS 107.21(1)(c)3.c. c. Cervical mucus exam;

DHS 107.21(1)(c)3.d. d. Vasectomies;

DHS 107.21(1)(c)3.e. e. Culdoscopy; and

DHS 107.21(1)(c)3.f. f. Colposcopy;

DHS 107.21(1)(c)4. 4. Procedures relating to genetics, including:

DHS 107.21(1)(c)4.a. a. Ultrasound;

DHS 107.21(1)(c)4.b. b. Amniocentesis;