As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.
Common terms: |
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Category: | T Test |
Base rate: | $142.19 |
Claims for more frequent BMD's must be submitted with text that states the circumstances of the patients condition, i.e. medication, illness. Please refer to the following guidelines that provide more information.
ORDERING PHYSICIANS: please note that a BMD may not be ordered for a patient that is less than 50 years of age unless the exam is ordered by one of the qualifying specialties listed in the notes.
A BMD may only be ordered and completed once every 2 years UNLESS the patient has one of the following clinical indications, this must be noted on the requisition form:
REFERRING PROVIDERS: please note that you are part of Cancer Control on the referral so the appointment can be made with minimal complication.
Type | Code | # of calls | Explicit | Action | Amount |
---|---|---|---|---|---|
XRAY | CINE | Yes | Increase Base To | 150% | |
XRAY | STEREO | Yes | Increase By | $17.58 |
No Governing Rules.
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