Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 6142 (September 30, 2023).

55 Pa. Code § 1143.53. Payment conditions for outpatient services.

§ 1143.53. Payment conditions for outpatient services.

 (a)  Services a podiatrist provides in a Short Procedure Unit (SPU) are compensable to the podiatrist only if the SPU is approved by the Department, the podiatrist is not employed by the hospital for inpatient services, and the service cannot be performed in the podiatrist’s office or the emergency room of a hospital without endangering the life or health of the patient.

 (b)  Specialists’ examinations and consultations require prior authorization from the County Assistance Office as described in §  1101.67 (relating to prior authorization).

Source

   The provisions of this §  1143.53 adopted August 27, 1982, effective August 28, 1982, 12 Pa.B. 2855.

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).



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