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MedicaidCoverageMedium impact

Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners

Maryland Medicaid·MD · Radiology, OB-GYN, Radiation Oncology·Managed Care Organizations
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Effective July 1, 2025, Maryland Medicaid now reimburses Certified Nurse Practitioners (CRNPs) for interpretation of specific radiological and imaging services. Billing teams must update systems to recognize CRNPs as eligible providers for 13 allowable CPT codes across chest X-rays, abdominal X-rays, obstetric ultrasounds, and radiotherapy planning. This applies to both fee-for-service and HealthChoice managed care organizations in Maryland.

Action Required

Action needed
Before July 1, 2025: Billing team must update claims processing system and billing software to permit CRNPs as valid interpreting providers for CPT codes 71045, 71046, 74018, 74019, 76801, 76802, 76815, 76817, 76819, 76830, 76882, 76937, and 77301 within Maryland Medicaid (fee-for-service and HealthChoice MCOs). Verify that CRNP credentials and active enrollment status are confirmed in claims before submission. Update provider credentialing records to flag eligible CRNPs. Do not submit these codes billed by CRNPs before July 1, 2025, as they will be denied. Contact mdh.professionalservicespolicy@maryland.gov (FFS) or mdh.healthchoiceprovider@maryland.gov (HealthChoice) for enrollment verification questions.

Affected Billing Codes

71045
71046
74018
74019
76801
76802
76815
76817
76819
76830
76882
76937
77301