Section 1143.55. Payment conditions for diagnostic services

Payment is made for diagnostic X-ray services performed in the podiatrist’s office if the following requirements are met:

(1) The podiatrist examines the patient prior to taking or ordering the X-ray.

(2) Initial and follow-up X-rays are taken on the basis of medical justification which is documented in the medical record.

(3) The X-rays are of diagnostic quality and each film photographically records:

(i) The name of the patient.

(ii) The date of the X-ray.

(iii) A designation of right and left.

(4) If an invoice for bilateral X-rays is submitted, the podiatrist includes on the invoice written justification for X-rays of both feet or both ankles, or both feet and ankles.

The provisions in this § 1143.55 adopted August 27, 1982, effective August 28, 1982, 12 Pa.B. 2855.

Notation

Cross References

This section cited in 55 Pa. Code § 1143.51 (relating to general payment policy); and 55 Pa. Code § 1143.52 (relating to payment conditions for various services).