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US · guidance

CMS Pub. 100-02, ch. 15, § 80.4.4

Exclusions From Coverage as Portable X-Ray Services

activein force · 2026-08-25 – presentas-observed

B3-2070.4.D

Procedures and examinations which are not covered under the portable x-ray provision include the

following:

• Procedures involving fluoroscopy;

• Procedures involving the use of contrast media;

• Procedures requiring the administration of a substance to the patient or injection of a substance into

the patient and/or special manipulation of the patient;

• Procedures which require special medical skill or knowledge possessed by a doctor of medicine or

doctor of osteopathy or which require that medical judgment be exercised;

• Procedures requiring special technical competency and/or special equipment or materials;

• Routine screening procedures; and

• Procedures which are not of a diagnostic nature.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
347c07b35bf9d6d9db4f8ee72964ef15b7543008b76882e901860a408d2e9e0f
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