Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.87 - Free-Standing Independent Diagnostic Testing Facilities
Section 10.09.87.05 - Limitations
Universal Citation: MD Code Reg 10.09.87.05
Current through Register Vol. 51, No. 19, September 20, 2024
The Program does not cover the following:
A. Services for which the IDTF provider cannot supply a properly completed order identifying the authorized ordering practitioner by National Provider Identifier (NPI);
B. IDTF services ordered by an:
(1) Individual who is not enrolled as a
provider in the Program with an active status on the date of service;
and
(2) Entity, facility, or
another provider that is not an individual.
C. Services not adequately documented in the recipient's medical record;
D. Services not medically necessary;
E. Procedures that are the provider as investigational or experimental in nature;
F. Services which are specifically included as an integral part of another service;
G. Consultations;
H. Office Visits;
I. Injections;
J. Surgeries; and
K. Therapeutic services.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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