---
kind: "section"
citation: "42 C.F.R. § 486.104"
title: "42"
number: "486.104"
heading: "Condition for coverage: Qualifications, orientation and health of technical personnel."
url: "https://uscodex.org/cfr/42/486.104"
---

# §486.104. Condition for coverage: Qualifications, orientation and health of technical personnel.


Portable X-ray services are provided by qualified technologists.

- (a) **Standard: Qualifications of technologists.** All operators of the portable X-ray equipment meet the requirements of paragraph [(a)(1)](#a-1) or [(2)](#a-2) of this section.
  - (1) Successful completion of a program of formal training in X-ray technology at which the operator received appropriate training and demonstrated competence in the use of equipment and administration of portable x-ray procedures; or
  - (2) Successful completion of 24 full months of training and experience under the direct supervision of a physician who is certified in radiology or who possesses qualifications which are equivalent to those required for such certification.
- (b) **Standard—personnel orientation.** The supplier of portable X-ray services has an orientation program for personnel, based on a procedural manual which is: Available to all members of the staff, incorporates relevant portions of professionally recognized documents, and includes instruction in all of the following:
  - (1) Precautions to be followed to protect the patient from unnecessary exposure to radiation;
  - (2) Precautions to be followed to protect an individual supporting the patient during X-ray procedures from unnecessary exposure to radiation;
  - (3) Precautions to be followed to protect other individuals in the surrounding environment from exposure to radiation;
  - (4) Precautions to be followed to protect the operator of portable X-ray equipment from unnecessary exposure to radiation;
  - (5) Considerations in determining the area which will receive the primary beam;
  - (6) Determination of the time interval at which to check personnel radiation monitors;
  - (7) Use of the personnel radiation monitor in providing an additional check on safety of equipment;
  - (8) Proper use and maintenance of equipment;
  - (9) Proper maintenance of records;
  - (10) Technical problems which may arise and methods of solution;
  - (11) Protection against electrical hazards;
  - (12) **Hazards of excessive exposure to radiation.**
- (c) **Standard: Employee records.** Records are maintained and include evidence that—
  - (1) Each employee is qualified for his or her position by means of training and experience; and
  - (2) **Employees receive adequate health supervision.**

## Notes

### Amendments

[34 FR 388, Jan. 10, 1969. Redesignated at 42 FR 52826, Sept. 30, 1977, and amended at 53 FR 12015, Apr. 12, 1988; 60 FR 45086, Aug. 30, 1995; 73 FR 69942, Nov. 19, 2008; 84 FR 51830, Sept. 30, 2019]

### Authority

Authority: Secs. 1102, 1861(s) (3), (11) and (12), 1864, and 1871 of the Social Security Act (42 U.S.C. 1302, 1395x(s) (3), (11), and (12), 1395aa and 1395hh).

### Source

Source: 34 FR 388, Jan. 10, 1969, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977, and further redesignated and amended at 60 FR 2326, Jan. 9, 1995.

### Authority

Authority: 42 U.S.C. 273, 1302, 1320b-8, and 1395hh.

### Amendments

[34 FR 388, Jan. 10, 1969. Redesignated at 42 FR 52826, Sept. 30, 1977, and amended at 53 FR 12015, Apr. 12, 1988; 60 FR 45086, Aug. 30, 1995; 73 FR 69942, Nov. 19, 2008; 84 FR 51830, Sept. 30, 2019]