Medicare_Carriers_Manual / 8314 / 8314

Why This Topic Matters

It helps users determine whether the article applies to billing and payment questions involving radiology services, especially when physician work is directed to an individual patient versus work performed for the provider. The article also points readers to related manual provisions that frame payment responsibility and related cost considerations.

Article Sections

1. 8314. Conditions for Payment of Reasonable Charges--Radiology Services

   This section outlines the general payment framework for radiology services and distinguishes patient-specific services from provider-level services. It references related manual provisions and broad categories of imaging and therapy services.

2. A. Services to Patients

   This subsection discusses the category of radiology services furnished to an individual patient and the general conditions tied to payment under the manual framework. It mentions several broad imaging and nuclear medicine service types.

3. B. Services to Providers

   This subsection addresses services performed for the provider rather than for an individual patient and notes related payment handling. It also points to another manual reference concerning certain physician-borne costs.