US · guidance
CMS Pub. 100-04, ch. 13, § 20.1
Professional Component (PC)
A/B MACs (B) must pay for the PC of radiology services furnished by a physician to an individual
patient in all settings under the fee schedule for physician services regardless of the specialty of the
physician who performs the service. For services furnished to hospital patients, A/B MACs (B) pay only
if the services meet the conditions for fee schedule payment and are identifiable, direct, and discrete
diagnostic or therapeutic services to an individual patient, such as an interpretation of diagnostic
procedures and the PC of therapeutic procedures. The interpretation of a diagnostic procedure includes a
written report.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0639c0d052e4aa9a1129b0acd40713fa7dda0a77d299f951f62463bc7342f2ce
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