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Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners
Effective date
Jul 1, 2025
Identified
Jun 20, 2026
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.
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What to do
Action · 5 steps
01Before 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).
02Verify that CRNP credentials and active enrollment status are confirmed in claims before submission.
03Update provider credentialing records to flag eligible CRNPs.
04Do not submit these codes billed by CRNPs before July 1, 2025, as they will be denied.
05Contact mdh.professionalservicespolicy@maryland.gov (FFS) or mdh.healthchoiceprovider@maryland.gov (HealthChoice) for enrollment verification questions.
Codes mentioned
71045710467401874019768017680276815768177681976830768827693777301
Original notice
Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners
health.maryland.gov no longer serves this document. We saved a copy on Nov 6, 2026.
Related changes
See all Maryland Medicaid changes →PT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed CareRemote Ultrasound Procedures and Remote Fetal Nonstress Tests, Effective Ocotober 1, 2024HighEffective Oct 1, 2024 · Managed Care OrganizationsMedicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative DaysHighEffective Jan 1, 2026 · HospitalPayment of Medically Necessary Ancillaries on an Administrative DayHighEffective Jul 1, 2024 · HospitalBrowse every Maryland Medicaid change in the policy list