---
kind: "section"
citation: "42 C.F.R. § 415.120"
title: "42"
number: "415.120"
heading: "Conditions for payment: Radiology services."
url: "https://uscodex.org/cfr/42/415.120"
---

# §415.120. Conditions for payment: Radiology services.

- (a) **Services to beneficiaries.** The carrier pays for radiology services furnished by a physician to a beneficiary on a fee schedule basis only if the services meet the conditions for fee schedule payment in [§ 415.102(a)](/cfr/42/415.102.md?p=a) and are identifiable, direct, and discrete diagnostic or therapeutic services furnished to an individual beneficiary, such as interpretation of x-ray plates, angiograms, myelograms, pyelograms, or ultrasound procedures. The carrier pays for interpretations only if there is a written report prepared for inclusion in the patient's medical record maintained by the hospital.
- (b) **Services to providers.** The carrier does not pay on a fee schedule basis for physician services to the provider (for example, administrative or supervisory services) or for provider services needed to produce the x-ray films or other items that are interpreted by the radiologist. However, the intermediary pays the provider for these services in accordance with [§ 415.55](/cfr/42/415.55.md) for provider costs; [§ 415.102(d)(2)](/cfr/42/415.102.md?p=d-2) for costs incurred by a physician, such as under a lease or concession agreement; or [part 412](/cfr/42/part412.md) of this chapter for payment under PPS.

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 60 FR 63178, Dec. 8, 1995, unless otherwise noted.