R 418.10920
R 418.10920 Billing for supplementary radiology supplies.
Cite as Mich. Admin. Code R 418.10920
Rule 920. (1) For radiology procedures involving the use of contrast, contrast material must
be billed utilizing procedure codes in the “HCPCS Level II Professional Edition,” as adopted by
reference in R 418.10107. The provider shall include an invoice documenting the wholesale
price of the contrast material used and the provider shall be reimbursed the wholesale price of the
contrast material.
(2) Contrast materials are only separately payable in an ASC if allowed separate
payment under the OPPS, which is provided separate from these rules on the agency’s website,
https://www.michigan.gov/leo/bureaus-agencies/wdca.