Regulations
| 9789.17.1....Radiology Diagnostic Imaging Multiple Procedures | |
| (a) Specified diagnostic imaging procedures are designated in the âDiagnostic Imaging Service Subject to the Multiple Procedure Payment Reduction (MPPR)â file ...more | |
| 9789.17.2....Radiology Consultations | |
| This interpretation of an x-ray procedure must directly contribute to the diagnosis and treatment of the patient. The physician must prepare a signed written report of ...more | |
| 9789.17.3....Additional Payment Reductions for Certain Diagnostic Imaging Services | |
| (a) For services rendered on or after March 1, 2017, payment of X-ray imaging services that are taken using film is made at: Â (1) 80 percent of a technical ...more | |
| 9789.18.1....Payment for Anesthesia Services - General Payment Rule | |
| The fee schedule amount for physician anesthesia services is, with the exceptions noted, based on allowable base and time units multiplied by an anesthesia conversion ...more | |
| 9789.18.10....Anesthesia - Monitored Anesthesia Care | |
| The physician or non-physician practitioner shall be reimbursed for reasonable and medically necessary monitored anesthesia care services on the same basis as other ...more | |
| 9789.18.11....Anesthesia Claims Modifiers | |
| Physicians shall report the appropriate anesthesia modifier to denote whether the service was personally performed, medically directed, or medically supervised in ...more | |
| 9789.18.12....Anesthesia and Medical/Surgical Service Provided by the Same Physician | |
| When these services are performed by the second physician in the nonfacility setting, CPT codes 99148 to 99150 are not to be reported. Â (c) If the anesthesiologist or ...more | |
| 9789.18.2....Anesthesia - Personally Performed Rate | |
| The anesthesia fee calculation will recognize the base unit for the anesthesia code and one time unit per 15 minutes of anesthesia time in any of the following ...more | |
| 9789.18.3....Anesthesia - Medically Directed Rate | |
| Â (b) The physician must participate only in the most demanding procedures of the anesthesia plan, including, if applicable, induction and emergence. Physicians must ...more | |
| 9789.18.4....Anesthesia - Definition of Concurrent Medically Directed Anesthesia Procedures | |
| Concurrency is defined with regard to the maximum number of procedures that the physician is medically directing within the context of a single procedure and whether ...more | |