(a) Radiological services providers shall bill utilizing the complete radiological examination CPT code to include the following modifiers as described below:
- (1) The radiological professional CPT code modifier, which shall include supervision, interpretation, and written report of the radiological examination only;
- (2) The technical CPT code modifier which shall include the taking of the radiological examination film only; and
- (3) Informational modifiers, if more than one procedure code is billed per day.
- (b) Payments to radiological services providers shall be made in accordance with rates established by the department pursuant to RSA 161:4, VI.
- (c) Radiological services providers shall submit claims for payment to the department’s fiscal agent.
- (d) Radiological services providers shall maintain supporting documentation, in accordance with He-W 520 and He-W 521.
Source. #8562, eff 2-7-06; ss by #10517, eff 2-7-14; ss by #10517, eff 2-7-14, EXPIRED: 2-7-24 New. #14277, eff 6-24-25, EXPIRES: 6-24-35