Current through Register No. 50, December 12, 2024
Section He-W 569.09 - Payment for Services(a) Radiological services providers shall bill utilizing the complete radiological examination CPT code to include the following modifiers as described below: (1) The radiological professional CPT code modifier, which shall include supervision, interpretation, and written report of the radiological examination only;(2) The technical CPT code modifier which shall include the taking of the radiological examination film only; and(3) Informational modifiers, if more than one procedure code is billed per day.(b) Payments to radiological services providers shall be made in accordance with rates established by the department pursuant to RSA 161:4, VI.(c) Radiological services providers shall submit claims for payment to the department's fiscal agent.(d) Radiological services providers shall maintain supporting documentation, in accordance with He-W 520.N.H. Admin. Code § He-W 569.09
#8562, eff 2-7-06; ss by #10517, eff 2-7-14