Radiology and Radiation Oncology Services
Medicare generally covers: x-rays, including portable x-rays, fluoroscopy and mammography; CT, including portable CT, CT angiography (CTA) and CT-guided procedures; MRI, including MR angiography (MRA) and MRI-guided procedures; ultrasound (US), including diagnostic grey-scale and vascular Doppler imaging, and US-guided procedures; nuclear medicine diagnostic imaging and procedures, including radionuclides and PET for certain conditions; radiation oncology; and bone density (DEXA) scans. Coverage may be limited to certain indications.
Medicare covers imaging services that are performed or supervised by a physician who is certified or eligible to be certified by the American Board of Radiology or for whom radiology services account for at least 50 percent of the total amount of charges made under Medicare.
Abdominal Echocardiography - Billing information for the CPT code 76705 is provided.
Billing Professional and Technical Components - Descriptions of when to use the professional and technical modifiers is provided.
Bone Mass Measurements - Coverage information for bone mass measurements is provided.
Diagnostic Tests: Purchased or Personally Performed - If a test is personally performed by a physician or is supervised by a physician, the physician may submit claims under the normal physician fee schedule rules.
Interventional Radiology - Claim submission tips are provided.
Radiation Therapy Treatment Management: Bundled Services - A list of CPT codes included with 77427 - 77435 is provided.
- American Society for Radiation Oncology
- IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 13
- Brachytherapy: Non-intracoronary LCD - L24281
- Intensity Modulated Radiation Therapy (IMRT) LCD - L24318
Last Updated Jun 16, 2017