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Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare covers diagnostic tests like CT Scans, MRIs, EKGs, and X-rays. Diagnostic tests are done to help your doctor diagnose or rule out a suspected illness or condition. Medicare does not cover most routine screening tests.
Some preventive tests and screenings are covered by Medicare (for example, mammograms).
CoPayment: The amount you need to pay.
If the diagnostic tests or x-rays is performed at your physician's office or at a freestanding (independent) outpatient diagnostic testing facility: You pay 20% of Medicare-approved amounts for covered diagnostic tests and x-rays.
If the diagnostic tests or x-rays are performed at a hospital outpatient setting: You pay a set copayment amount for covered diagnostic tests and x-rays under the Outpatient Prospective Payment System (OPPS). The amount you pay depends on the diagnostic test you receive. Please contact the Medicare Carrier listed below for specific copayment amounts in your area.
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.