(a) Covered professional services provided by a physician
assistant (PA) are reimbursed the lesser of the PA's billed charges
or 92 percent of the reimbursement for the same professional service
paid to a physician (M.D. or D.O.). The claim for reimbursement must
either be:
(1) billed under the PA's provider number; or
(2) a physician claim noting that the physician was
supervising the activity of the PA and did not, on the date the service
was rendered, make a decision about the patient's care.
(b) PAs are reimbursed at the same reimbursement level
as physicians for laboratory services, x-ray services and injections.
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