In addition to the general requirements in §354.1001 of
this title (relating to Claim Information Requirements), the following
information is required on claims for podiatry services:
(1) place of service;
(2) the type of each diagnostic, treatment, or surgical
procedure;
(3) the number of miles for which a travel charge is
made;
(4) the individual charge for each service;
(5) diagnosis(es) of the condition(s) for which treatment
and services were provided. With respect to diagnostic or other services
furnished at the request of a physician or another podiatrist, this
requirement may be waived by the health insuring agent if the podiatrist
providing the services shows that such information is not available
to him or her;
(6) name, address, and appropriate identification number
of the ordering physician or podiatrist if services were provided
by a non-ordering podiatrist; and
(7) all supplemental information, including clarification
of the diagnoses in terms of the degree or extent of involvement,
necessary to substantiate the need for the services provided or changes
made, or both.
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| Source Note: The provisions of this §354.1101 adopted to be effective May 30, 1977, 2 TexReg 1929; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; amended to be effective September 1, 2003, 28 TexReg 7287; amended to be effective August 6, 2013, 38 TexReg 4886 |
