Okla. Admin. Code § 317:30-5-907.3

Current through Vol. 42, No. 4, November 1, 2024

Section 317:30-5-907.3 - Reimbursement

(a) Diagnostic procedure are reimbursable if the services were rendered to a non-hospital patient and the IDTF provided all services (professional and technical) associated with the total procedure as defined in the CPT. When separate CPT codes itemize a service by its professional and technical components, the IDTF may bill and be reimbursed for the components of the procedure it actually performed.

(b) Payment is made for the technical component on outpatient diagnostic procedures in accordance with the guidelines set forth in OAC 317:30-5-24.

Added at 22 Ok Reg 168, eff 10-6-04 (emergency); Added at 21 Ok Reg 2494, eff 7-11-05

Amended by Oklahome Register, Volume 33, Issue 23, August 15, 2016, eff. 9/1/2016