<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.87.04" title_num="10" subtitle_num="09" chapter_num="87" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Program covers medically necessary radiology services rendered to a recipient in an IDTF when the services are:</text>
    <paragraph num="(1)">
      <text>Rendered in a CMS certified IDTF or an IDTF Mobile Unit;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provided according to the laws and regulations of the state and locality in which they are rendered;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Rendered by a physician or supervised technician;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ordered in writing by the treating physician or non-physician practitioner, in accordance with State law, who is enrolled as a provider in the Program with an active status on the date of service; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Adequately documented in the recipient’s medical record.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Radiology services include the following:</text>
    <paragraph num="(1)">
      <text>Diagnostic X-rays;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Computerized Tomography (CT) procedures;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Magnetic Resonance Imaging (MRI);</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Magnetic Resonance Angiography (MRA);</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Nuclear medicine imaging and radionuclide used in the procedures;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Diagnostic mammography and certain mammography screening;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Ultrasound (US procedures);</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Position Emission Tomography (PET);</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Radiation oncology; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Bone mass measurements.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Nuclear Medicine Imaging to include Position Emission Tomography (PET) are covered only when billed by providers who are accredited by one of the following:</text>
    <paragraph num="(1)">
      <text>The American College of Radiology;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Intersocietal Accreditation Commission; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Joint Commission on Accreditation of Health Organizations (JCAHO).</text>
    </paragraph>
  </paragraph>
</regulation>