New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 500 - MEDICAL ASSISTANCE
Part He-W 569 - RADIOLOGICAL SERVICES
Section He-W 569.09 - Payment for Services
Universal Citation: NH Admin Rules He-W 569.09
Current through Register No. 40, October 3, 2024
(a) Radiological services providers shall bill utilizing the complete radiological examination CPT code to include the following modifiers as described below:
(1)
The radiological professional CPT code modifier, which shall include
supervision, interpretation, and written report of the radiological examination
only;
(2) The technical CPT code
modifier which shall include the taking of the radiological examination film
only; and
(3) Informational
modifiers, if more than one procedure code is billed per day.
(b) Payments to radiological services providers shall be made in accordance with rates established by the department pursuant to RSA 161:4, VI.
(c) Radiological services providers shall submit claims for payment to the department's fiscal agent.
(d) Radiological services providers shall maintain supporting documentation, in accordance with He-W 520.
#8562, eff 2-7-06; ss by #10517, eff 2-7-14
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