Medicare Advantage Preferred Provider Organization (MA PPO)

Applicable to enrollees from other Blue Cross Blue Shield Medicare Advantage Plans who obtain health care services within the 5-county Philadelphia service area.

Policy Attachment

Attachment to Policy #

MA00.031f

Attachment:

Policy #:

MA00.031f

Description:

Codes eligible for reimbursement when billed by Podiatrists

Title:

X-rays Associated with Fractures in the Office Setting

X-RAYS ASSOCIATED WITH A FRACTURE THAT ARE ELIGIBLE FOR FEE-FOR-SERVICE REIMBURSEMENT WHEN BILLED BY A PODIATRIST, (THIS INCLUDES CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNPs) AND PHYSICIAN ASSISTANTS (PAs) PRACTICING WITHIN THESE SPECIALTY GROUPS), WHEN THE CRITERIA IN THE POLICY ARE MET

NOTES:

The Effective Date indicates either the date the code became effective and/or the date the code became eligible for fee-for-service reimbursement consideration.

The Delete Date indicates either the date the code becomes invalid and/or the date the code is no longer eligible for fee-for-service reimbursement consideration.

Claims will be considered for fee-for-service reimbursement when a Podiatrist reports a listed procedure.

CPT CODE	EFFECTIVE DATE	DELETE DATE
73600	5/27/2011
73610	5/27/2011
73620	5/27/2011
73630	5/27/2011
73650	5/27/2011
73660	5/27/2011

Version Effective Date:

12/05/2022

Version Issued Date:

12/05/2022

Version Reissued Date:

06/26/2024

Medicare Advantage Preferred Provider Organization (MA PPO)

Applicable to enrollees from other Blue Cross Blue Shield Medicare Advantage Plans who obtain health care services within the 5-county Philadelphia service area.

Notification

Policy Attachment