US · guidance
CMS SOM App. L, Tag Q-0204
§416.49(b)(2) If radiologic services are utilized, the governing body must appoint an
individual qualified in accordance with State law and ASC policies who is
responsible for assuring all radiologic services are provided in accordance with the
requirements of this section.
Interpretive Guidelines: §416.49(b)(2)
If the ASC provides radiologic services, the ASC’s governing body must appoint an
individual who has appropriate qualifications, in accordance with State law and Federal
regulations, to provide oversight of these services. The appointed individual is
responsible for assuring the ASC’s compliance with §§482.26(b), (c)(2), and (d)(2). In
order to assure compliance with these requirements the individual is expected to be
qualified, through training and/or experience, to oversee areas including, but not limited
to: use of safety precautions (shielding, and appropriate storage, use and disposal of
radioactive materials) against radiation hazards; regular equipment inspection and hazard
correction; regular review of radiation worker radiation exposure; assuring use of
radiologic equipment only by qualified personnel; and maintenance of imaging results or
records. The person appointed to oversee radiologic services could be someone already
working in the ASC who is qualified in accordance with State law and Federal
regulations. Under the medical staff credentialing and privileging requirements at
§416.45, the ASC’s governing body will continue to be required to ensure that the
operating surgeon is competent both to perform the surgical procedures for which
privileges have been issued by the ASC and to appropriately and safely use the imaging
modalit(ies) that are integral to the procedures s/he performs.
Survey Procedures: §416.49(b)(2)
• Can the ASC demonstrate that the individual responsible for assuring all
radiologic services are provided in accordance with the requirements of
this section:
o Is qualified for this role in accordance with State and/or Federal
law and regulations and ASC policies?
o Was appointed by the ASC’s governing body?
History
Rev. 137, Issued: 04-01-15, Effective: 03-27-15, Implementation: 03-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
12c2c44b4f9fdf362922ea989cc5227019282e7ac6e1a8e6c0b5db48988b8519
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