Mich. Admin. Code R. 418.10920

Current through Vol. 24-16, September 15, 2024
Section R. 418.10920 - Billing for supplementary radiology supplies

Rule 920.

(1) If a description of a diagnostic radiology procedure includes the use of contrast materials, then those materials shall not be billed separately as they are included in the procedure.
(2) A radiopharmaceutical diagnostic low osmolar contrast materials and paramagnetic contrast materials shall only be billed when the CPT codebook instructions indicate supplies shall be listed separately.
(3) If allowed separate reimbursement under this rule, a provider shall include an invoice documenting the wholesale price of the contrast material used and the provider shall be reimbursed the wholesale price of the contrast material.

Mich. Admin. Code R. 418.10920

1998-2000 AACS; 2014 AACS; 2018 MR 5, Eff. 3/15/2018