What is the Diagnostic Imaging Multiple Service Rule?

What is the Diagnostic Imaging Multiple Service Rule?

Diagnostic imaging items are subject to a multiple services rule. There are 3 rules, A, B and C, which may apply together.

 

Rule A.  If 2 or more diagnostic imaging services are provided to a patient on the same day, the fee for the second and subsequent items is reduced by $5.

 

Rule B.  When at least one consultation is provided to a patient on the same day, there is a reduction in the fee for the diagnostic imaging service of $35. Consultations are defined as items 1 to 10816.

 

Rule C.  When a diagnostic imaging service and at least one non-consultation service is provided to the same patient on the same day, the fee for the diagnostic imaging service with the highest Schedule fee is reduced by $5.

 

Full details of the multiple diagnostic imaging rule is give at this link on the Medicare website.


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