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Maryland MedicaidMedicaid · Coverage · Managed Care · MD · Radiology, Family Medicine, Internal Medicine +1 moreMedium impact

PT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners

Act
immediately
Effective date
Jul 1, 2025
Identified
Jun 18, 2026

Summary

Maryland Medicaid now allows certified nurse practitioners to interpret and bill for specific radiological and imaging services including chest X-rays, abdominal X-rays, obstetric ultrasounds, and other imaging studies. This expands billing opportunities for practices with CRNPs providing these interpretation services.

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What to do

immediately · 3 steps
01Billing team must update system to allow certified nurse practitioners to bill for radiology interpretation services using the specified CPT codes for Maryland Medicaid patients.
02Verify CRNP enrollment and certification status in billing system.
03Update encounter forms and provider templates to include these billable interpretation services for CRNPs.

Codes mentioned

71045710467401874019768017680276815768177681976830768827693777301

Original notice

PT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners
health.maryland.gov · Always check the source before changing claims.
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Related changes

See all Maryland Medicaid changes →
Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed Care OrganizationsRemote 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

Related policy hubs

Maryland Medicaid policiesMD policy changesRadiologyFamily MedicineInternal MedicineOB-GYNCode 71045Code 71046Code 74018Code 74019Code 76801Code 76802Code 76815Code 76817Code 76819Code 76830Code 76882Code 76937Code 77301

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