Radiology Services

(A) The MassHealth agency pays for radiology services when the services are needed to confirm the diagnosis of a bony or calcific disorder, to detect soft-tissue disorders, or to detect foreign bodies. (B) Payment for radiology services is not included in the fees for visits and should be claimed separately. (C) All radiology equipment used in providing these services must be inspected and approved by the Massachusetts Department of Public Health. (D) The MassHealth agency pays a podiatrist for radiology services only when the service is provided in the podiatrist's office and only when the films are developed and read in the podiatrist's office. (E) All X rays must be labeled with the member's name, the date of examination, and the nature of the examination in addition to the information required in 130 CMR 424.409. (F) The MassHealth agency pays one maximum allowable fee for a routine study of a particular section of an extremity regardless of the number of X-ray views. An additional fee may be claimed only when a comparison study is necessary.