405 IAC 5-26-4 Laboratory or x-ray services

Sec. 4. (a) Medicaid will reimburse a podiatrist for laboratory or x-ray services only if the services are rendered by or under the personal supervision of the podiatrist. Services ordered by a podiatrist, but performed by a laboratory or x-ray facility, shall be billed directly to Medicaid by the laboratory or x-ray facility. The podiatrist may be reimbursed for handling or conveyance of a specimen sent to an outside laboratory in accordance with 405 IAC 5-18. (b) Medicaid reimbursement is not available for comparative foot x-rays, unless prior authorized. (c) Medicaid reimbursement is available for the following lab and x-ray services billed by a podiatrist: (1) Cultures for foot infections and mycotic (fungal) nails for diagnostic purposes. (2) Sensitivity studies for treatment of infection processes. (3) Medically necessary presurgical testing.