Exclusions From Coverage as Portable X-Ray Services

80.4.4 - Exclusions From Coverage as Portable X-Ray Services (Rev. 1, 10-01-03) B3-2070.4.D Procedures and examinations which are not covered under the portable x-ray provision include the following: • Procedures involving fluoroscopy; • Procedures involving the use of contrast media; • Procedures requiring the administration of a substance to the patient or injection of a substance into the patient and/or special manipulation of the patient; • Procedures which require special medical skill or knowledge possessed by a doctor of medicine or doctor of osteopathy or which require that medical judgment be exercised; • Procedures requiring special technical competency and/or special equipment or materials; • Routine screening procedures; and • Procedures which are not of a diagnostic nature.