Billing and Coding: Chest X-Ray Policy

This policy provides coding and billing guidance for chest X‑ray services and does not itself set coverage—coverage, exclusions, and applicable codes are determined by the associated Local Coverage Determination (LCD). Providers must follow the LCD and this guidance, use the correct CPT/HCPCS codes, and document medical necessity and supporting clinical information per payer requirements.

"Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A), states that no Medicare payment shall be made for items or services which "are not reasonable and necessary for the diagnosis or treatm..."

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