Section 405IAC5-26-4. Laboratory or x-ray services

   (a) Medicaid will reimburse a podiatrist for laboratory or x-ray services only if the services are rendered by or under the personal supervision of the podiatrist. Services ordered by a podiatrist, but performed by a laboratory or x-ray facility, shall be billed directly to Medicaid by the laboratory or x-ray facility. The podiatrist may be reimbursed for handling or conveyance of a specimen sent to an outside laboratory in accordance with 405 IAC 5-18.

  (b) Medicaid reimbursement is not available for comparative foot x-rays, unless prior authorized.

  (c) Medicaid reimbursement is available for the following lab and x-ray services billed by a podiatrist:

(1) Cultures for foot infections and mycotic (fungal) nails for diagnostic purposes.

(2) Sensitivity studies for treatment of infection processes.

(3) Medically necessary presurgical testing.

(Office of the Secretary of Family and Social Services; 405 IAC 5-26-4; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3349; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA)