Medicare Coverage of Imaging Services

Cms.gov: 6/1/13

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.

Further, effective for dates of service on or after January 1, 2012, Medicare requires that the technical component (TC) of advanced diagnostic imaging (ADI), for example, magnetic resonance imaging (MRI), computed tomography (CT), and nuclear medicine imaging, including positron emission tomography (PET), be billed only by those suppliers who are accredited by one of the CMS-approved Accrediting Organizations for the ADI program.  Read more