4123-7-15 Payment for x-rays.

A self-insuring employer shall pay for x-ray examinations (including CT, MRI, and discogram) when medical evidence shows that the examination is medically necessary either for the treatment of an allowed injury or occupational disease, or for diagnostic purposes to pursue more specific diagnoses in an allowed claim. Providers shall follow all bureau prior authorization policies in effect at the time when requesting authorization and payment for such studies.

HISTORY: Eff 1-1-78; Replaces: 4123-7-15 Eff 2-14-05

Promulgated Under: 119.03

Statutory Authority: RC 4121.12, 4121.121, 4121.30, 4121.31, 4123.05, 4123.66

Rule Amplifies: RC 4121.121, 4121.30, 4121.31, 4123.66

R.C. 119.032 review dates: 03/01/2009