Alert: Ordering Portable X-Rays

ACNP Advisory on Ordering Portable X-Rays

The American College of Nurse Practitioners (ACNP) wants members to be aware that that Centers for Medicare & Medicaid Services (CMS) is denying payment for portable X-Ray services ordered by nurse practitioners or any health care professional other than a physician.

The “MedLearn Matters” article issued last fall includes the unambiguous statement: “Portable X-Ray services may only be ordered by a Doctor of Medicine or Doctor of Osteopathy. Portable X-Ray services ordered by any other practitioners will be denied.”

The December 2011 HHS Office of Inspector General report entitled “Questionable Billing Patterns of Portable X-Ray Suppliers,” also declares “Federal regulations stipulate that portable x-rays must be ordered by a licensed medical doctor or doctor of osteopathy who is treating the beneficiary for a specific medical problem and who uses the results of the x-ray in managing it.”

We understand the importance of permitting nurse practitioners to order portable X-Rays. ACNP will be working vigorously to lift this prohibition.

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  1. Can Nurse Praactioners order X Rays in Urgent care on a patient without Physician on site

  2. Yes, but it depends.
    – Are there any limitations in your state and scope of practice?
    – Does the facility you work in allow it? (Obviously, if it’s your practice, the answer should be yes!).
    – Insurance may have some limitations.

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