Page 96 - Medicare Benefit Policy Manual

Assistant (RPA) who is certified by the Certification Board for Radiology Practitioner
Assistants (CBRPA), and is authorized to furnish the procedure under state law, may
be performed under direct supervision).

4 Physician supervision policy does not apply when procedure is furnished by a
qualified, independent psychologist or a clinical psychologist or furnished under the
general supervision of a clinical psychologist; otherwise must be performed under the
general supervision of a physician.

5 Physician supervision policy does not apply when procedure is furnished by a
qualified audiologist; otherwise must be performed under the general supervision of a
physician.

6 Procedure must be performed by a physician or by a physical therapist (PT) who
is certified by the American Board of Physical Therapy Specialties (ABPTS) as a
qualified electrophysiologic clinical specialist and is permitted to provide the
procedure under State law.

6a Supervision standards for level 66 apply; in addition, the PT with ABPTS
certification may supervise another PT but only the PT with ABPTS certification may
bill.
7a Supervision standards for level 77 apply; in addition, the PT with ABPTS certification
may supervise another PT but only the PT with ABPTS certification may bill.

9 Concept does not apply.

21 Procedure must be performed by a technician with certification under general
supervision of a physician; otherwise must be performed under direct supervision of a
physician.

22 Procedure may be performed by a technician with on-line real-time contact with
physician.

66 Procedure must be performed by a physician or by a PT with ABPTS certification and
certification in this specific procedure.

77 Procedure must be performed by a PT with ABPTS certification or by a PT without
certification under direct supervision of a physician, or by a technician with certification
under general supervision of a physician.

When nurse practitioners, clinical nurse specialists, and physician assistants personally
perform diagnostic tests as provided under §1861(s)(2)(K) of the Act, the supervision
requirements under §1861(s)(3) of the Act and under 42 CFR 410.32 do not apply.
Rather, these practitioners are authorized to personally perform diagnostic tests under