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Diagnostic Tests and X-Rays Detailed
Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare covers diagnostic tests, like CT scans, MRIs, EKGs, X-rays, and PET scans when your doctor or other health care provider orders them as part of treating a medical problem. Medicare also covers medically necessary clinical diagnostic laboratory services ordered by your treating doctor or practitioner. Diagnostic tests and laboratory services are done to help your doctor diagnose or rule out a suspected illness or condition.
CoPayment: The amount you need to pay.
In a doctor's office or independent testing facility, you pay 20% of the Medicare-approved amount for covered diagnostic tests and X-rays. The Part B deductible applies.
In a hospital outpatient setting, you pay a copayment for diagnostic tests and X-rays.
You generally pay nothing for Medicare-covered clinical diagnostic laboratory services.
Medicare Part: The part of Medicare that pays for this service or supply.
Organization Name: The organization name that this coverage topic is associated with.
Important Notes: Details regarding important notes about the coverage.
You must pay an annual $147 deductible for Part B services and supplies before Medicare begins to pay its share.