Awareness : Newsletter Articles

Physician Supervision of Diagnostic Procedures Revision

The Centers for Medicare & Medicaid Services (CMS) revised its policy to specify that beginning with dates of services on or after January 1, 2019, diagnostic procedures that are furnished by a Radiologist Assistant, who CMS defines as either RRAs, who are certified by The American Registry of Radiologic Technologists or RPAs, who are certified by the Certification Board for Radiology Practitioner Assistants, require only a direct level of physician supervision, when permitted by state law and state scope of practice regulations.

CMS notes that for diagnostic imaging tests requiring a general level of physician supervision, this policy revision does not change the level of physician supervision to direct supervision. Otherwise, the diagnostic imaging tests must be performed as specified elsewhere under 42 Code of Federal Regulations (CFR), section 410.32(b).

Be aware that beginning with dates of services on or after January 1, 2019, the description for Physician Supervision of Diagnostic Procedures indicator “03” on the Medicare Physician Fee Schedule is revised to say the following:

03 = Procedure must be performed under the personal supervision of a physician. (Diagnostic imaging procedures performed by a Registered Radiologist Assistant (RRA) who is certified and registered by The American Registry of Radiologic Technologists (ARRT) or a Radiology Practitioner Assistant (RPA) who is certified by the Certification Board for Radiology Practitioner Assistants (CBRPA) and is authorized to furnish the procedure under state law, may be performed under direct supervision).”