Library: Policy

317:30-5-42.13. Radiology

Issued 12-1-06

     Payment is made for the technical component of outpatient radiation therapy and compensable x-ray procedures.

• (1) Mammograms.  Medically necessary screening mammography is a covered benefit.  Additional follow-up mammograms are covered when medically necessary.  

• (2) Ultrasounds.  Ultrasounds for obstetrical care are paid in accordance with provisions found at OAC 317:30-5-22(b)(2)(A)-(C).