The ACEP offices will be closed for several upcoming holidays
We apologize for any inconvenience: Thursday, November 28, 2024 and Friday, November 29, 2024. Monday, December 23, 2024 thru Wednesday, January 1, 2025.
For more information on this packet which is not available via the internet contact ACEP's Reimbursement staff at 1-800-798-1822 ext. 3232 or via email.
Reimbursement and Coding Information
X-ray/EKG Frequently Asked Questions, Reviewed January 2008
Final Rule from HCFA on X-ray and EKG Interpretations Information Paper
Centers for Medicare and Medicaid Services (CMS, formerly HCFA)
Medicare Carriers Manual, Part 3, Claims Process, May 1997 with Revisions of Implementing Instructions (Still relevant)
HCFA Final Rule on X-Ray/EKG Interpretations, as reported in the Federal Register
ACEP Policy Statements and Related Information
Legal Opinion from Foley and Lardner for ACEP, Medicare Reimbursement Rules for Professional Interpretation of X-ray and EKG Services
Interpretation of Imaging Diagnostic Studies, ACEP Policy Statement
Background Material
DHHS, OIG report, Medicare's Reimbursement for Interpretations of Hospital Emergency Room X-rays, July 1993 - has not been updated by the OIG
November 1, 1996 memo from DHHS, Deputy IG for Evaluation and Inspections to Associate Administrator for Policy, HCFA on Draft Carrier Instructions on Interpretation of Diagnostic Tests
Changes in the Medicare Bulletin 98-1, p. 33
Radiologists' Review of Radiographs Interpreted Confidently by Emergency Physicians Infrequently Leads to Changes in Patient Management, Ann Emerg Med February 1998
Radiology Report Disclaimer
American College of Radiology Standard for Communication: Diagnostic Radiology
American College of Radiology Standard for Radiologist Coverage of Imaging Performed in Hospital EDs