Radiology Services
Effective Aug 12, 2016M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12MassHealth
- (A) The MassHealth agency pays for radiology services when the services are needed to confirm the diagnosis of a bony or calcific disorder, to detect soft-tissue disorders, or to detect foreign bodies.
- (B) Payment for radiology services is not included in the fees for visits and should be claimed separately.
- (C) All radiology equipment used in providing these services must be inspected and approved by the Massachusetts Department of Public Health.
- (D) The MassHealth agency pays a podiatrist for radiology services only when the service is provided in the podiatrist's office and only when the films are developed and read in the podiatrist's office.
- (E) All X rays must be labeled with the member's name, the date of examination, and the nature of the examination in addition to the information required in 130 CMR 424.409.
- (F) The MassHealth agency pays one maximum allowable fee for a routine study of a particular section of an extremity regardless of the number of X-ray views. An additional fee may be claimed only when a comparison study is necessary.