Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1143 - PODIATRISTS' SERVICES
PAYMENT FOR PODIATRISTS' SERVICES
Section 1143.53 - Payment conditions for outpatient services

Universal Citation: 55 PA Code ยง 1143.53

Current through Register Vol. 54, No. 44, November 2, 2024

(a) Services a podiatrist provides in a Short Procedure Unit (SPU) are compensable to the podiatrist only if the SPU is approved by the Department, the podiatrist is not employed by the hospital for inpatient services, and the service cannot be performed in the podiatrist's office or the emergency room of a hospital without endangering the life or health of the patient.

(b) Specialists' examinations and consultations require prior authorization from the County Assistance Office as described in § 1101.67 (relating to prior authorization).

This section cited in 55 Pa. Code § 1143.51 (relating to general payment policy); and 55 Pa. Code § 1143.52 (relating to payment conditions for various services).

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