048-26 Wyo. Code R. §§ 26-24 - Radiology Services
(a) Eligible
providers. Licensed independent radiology practices, hospitals, and physician
practices.
(b) Excluded services:
(i) Unordered radiological studies;
and
(ii) Separate consultations
procedures unless ordered by the attending physician, nurse practitioner or
physician's assistant.
(c) Limited services:
(i) Routine mammography is limited as
follows:
(A) One mammography between the ages
of thirty-five (35) and thirty-nine (39); and
(B) One mammography per year at age forty
(40) and after.
(ii)
Services performed in a physician's office shall be covered only if performed
by or under the direct supervision of the physician.
(iii) Services performed in a hospital using
equipment owned by the provider. The provider may bill for the total procedure
if the technical component is not billed by the hospital.
Notes
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