Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

55 Pa. Code § 1143.55. Payment conditions for diagnostic services.

§ 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.

Source

   The provisions in this §  1143.55 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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