1 Tex. Admin. Code § 355.8093 - Reimbursement Methodology for Physician Assistants
(a) Covered professional services provided by
a physician assistant (PA) are reimbursed the lesser of the PA's billed charges
or 92 percent of the reimbursement for the same professional service paid to a
physician (M.D. or D.O.). The claim for reimbursement must either be:
(1) billed under the PA's provider number;
or
(2) a physician claim noting
that the physician was supervising the activity of the PA and did not, on the
date the service was rendered, make a decision about the patient's
care.
(b) PAs are
reimbursed at the same reimbursement level as physicians for laboratory
services, x-ray services and injections.
Notes
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