048.0037.26.24

Ch. 26, § 24. Radiology Services

Last amended: 2025Length: 121 wordsOfficial source

Cite as Medicaid Rules, Ch. 26, § 24

(a) Eligible providers. Licensed independent radiology practices, hospitals, and physician practices. (b) Excluded services: (i) Unordered radiological studies; and (ii) Separate consultations procedures unless ordered by the attending physician, nurse practitioner or physician's assistant. (c) Limited services: (i) Routine mammography is limited as follows: (A) One mammography between the ages of thirty-five (35) and thirty- nine (39); and (B) One mammography per year at age forty (40) and after. (ii) Services performed in a physician's office shall be covered only if performed by or under the direct supervision of the physician. (iii) Services performed in a hospital using equipment owned by the provider. The provider may bill for the total procedure if the technical component is not billed by the hospital.
048.0037.26.24: Ch. 26, § 24. Radiology Services | Justis AI