Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1230 - PORTABLE X-RAY SERVICES
PAYMENT FOR PORTABLE X-RAY SERVICES
Section 1230.52 - Payment conditions for various services
Universal Citation: 55 PA Code ยง 1230.52
Current through Register Vol. 54, No. 12, March 23, 2024
(a) Portable X-ray procedures billed to the Department shall be based on a practitioner's written request. The written request must include:
(1) The practitioner's
name and medical license number.
(2) The recipient's name and
address.
(3) The recipient's case
number.
(4) The date of the
request.
(5) The handwritten
signature of the practitioner or the practitioner's designated
employe.
(6) The number and type of
X-ray studies requested.
(7) The
diagnosis or reason the X-rays were ordered.
(8) The reasons for the need for portable
X-ray study rather than office X-ray.
(b) Payment for transporting portable X-ray equipment from the provider's office to the place of service will be made in accordance with Chapter 1150 (relating to MA Program payment policies) and the MA Program fee schedule and the limitation in § 1230.53 (relating to limitation on payment).
This section cited in 55 Pa. Code § 1230.52a (relating to clarification of the terms "written" and "signature"-statement of policy).
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