Crosswalk

Crosswalk of changes to form CMS-1882
Proposed

Current
H37

H38

H39

§486.106 REFERRAL FOR SERVICE AND PRESERVATION OF
RECORDS.
All portable X-ray services performed for Medicare beneficiaries
are ordered by a doctor of medicine or doctor of osteopathy and
records are properly preserved.
(a) Referral by a Physician
Portable X-ray examinations are performed only on the order of
a doctor of medicine or doctor of osteopathy licensed to practice
in the state. The supplier’s records show that: (1) the X-ray test
was ordered by a licensed doctor of medicine or doctor of
osteopathy, and (2) Such physician’s written, signed order
specifies the reason an X-ray test is required, the area of the body
to be exposed, the number of radiographs to be obtained, and
the views needed; it also includes a statement concerning the
condition of the patient which indicates why portable X-ray
services are necessary.
(b) Records of Examinations Performed
The supplier makes for each patient a record of the date of the Xray examination, the name of the patient, a description of the
procedures ordered and performed, the referring physician, the
operator(s) of the portable X-ray equipment who performed the
examination, the physician to whom the radiograph was sent, and
the date it was sent.

H37

§486.106 REFERRAL FOR SERVICE AND PRESERVATION OF
RECORDS.
All portable X-ray services performed for Medicare beneficiaries
are ordered by a physician or a nonphysician practitioner as
provided in 410.32(a) of this chapter or by a nonphysician
practitioner as provided in 410.32(a)(2) and records are properly
preserved.

H38

(a) Referral by a Physician or Nonphysician Practitioners.
Portable X-ray examinations are performed only on the order of a
physician licensed to practice in the state or by a nonphysician
practitioner acting within the scope of State law. Such
nonphysician practitioners may be treated the same as physicians
treating beneficiaries for the purpose of this paragraph. The
supplier’s records show that: (1) the portable X-ray test was
ordered by physician or nonphysician practitioner acting with the
State scope of law, and (2) Such physician or nonphysician
practitioner’s written, signed order specifies the reason an X-ray
test is required, the area of the body to be exposed, the number
of radiographs to be obtained, and the views needed; it also
includes a statement concerning the condition of the patient
which indicates why portable X-ray services are necessary.

H39

(b) Records of Examinations Performed
The supplier makes for each patient a record of the date of the Xray examination, the name of the patient, a description of the
procedures ordered and performed, the referring physician or
nonphysician practitioner, the operator(s) of the portable X-ray
equipment who performed the examination, the physician to
whom the radiograph was sent, and the date it was sent.