[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR486.104]



[Page 639-640]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 486_CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY 

 

       Subpart C_Conditions for Coverage: Portable X-Ray Services

 

Sec.  486.104  Condition for coverage: Qualifications, orientation and



health of technical personnel.



    Portable X-ray services are provided by qualified technologists.

    (a) Standard--qualifications of technologists. All operators of the 

portable X-ray equipment meet the requirements of paragraph (a) (1), 

(2), or (3) of this section:

    (1) Successful completion of a program of formal training in X-ray 

technology of not less than 24 months' duration in a school approved by 

the Council on Education of the American Medical Association or by the 

American Osteopathic Association, or have earned a bachelor's or 

associate degree in radiologic technology from an accredited college or 

university.

    (2) For those whose training was completed prior to July 1, 1966, 

but on or after July 1, 1960: Successful completion of 24 full months of 

training and/or experience under the direct supervision of a physician 

who is certified in radiology by the American College of Radiology or 

who possesses qualifications which are equivalent to those required for 

such certification, and at least 12 full months of pertinent portable X-

ray equipment operation experience in the 5 years prior to January 1, 

1968.

    (3) For those whose training was completed prior to July 1, 1960: 

Successful completion of 24 full months of training and/or experience of 

which at least 12 full months were under the direct supervision of a 

physician who is certified in radiology by the American College of 

Radiology or who possesses qualifications which are equivalent to those 

required for such certification, and at least 12 full months of 

pertinent portable X-ray equipment operation experience in the 5 years 

prior to January 1, 1968.

    (b) Standard--personnel orientation. The supplier of portable X-ray 

services has an orientation program for personnel, based on a procedural 

manual which is: Available to all members of the staff, incorporates 

relevant portions of professionally recognized documents, and includes 

instruction in all of the following:

    (1) Precautions to be followed to protect the patient from 

unnecessary exposure to radiation;

    (2) Precautions to be followed to protect an individual supporting 

the patient during X-ray procedures from unnecessary exposure to 

radiation;

    (3) Precautions to be followed to protect other individuals in the 

surrounding environment from exposure to radiation;

    (4) Precautions to be followed to protect the operator of portable 

X-ray equipment from unnecessary exposure to radiation;

    (5) Considerations in determining the area which will receive the 

primary beam;

    (6) Determination of the time interval at which to check personnel 

radiation monitors;

    (7) Use of the personnel radiation monitor in providing an 

additional check on safety of equipment;

    (8) Proper use and maintenance of equipment;

    (9) Proper maintenance of records;



[[Page 640]]



    (10) Technical problems which may arise and methods of solution;

    (11) Protection against electrical hazards;

    (12) Hazards of excessive exposure to radiation.

    (c) Standard: Employee records. Records are maintained and include 

evidence that--

    (1) Each employee is qualified for his or her position by means of 

training and experience; and

    (2) Employees receive adequate health supervision.



[34 FR 388, Jan. 10, 1969. Redesignated at 42 FR 52826, Sept. 30, 1977, 

and amended at 53 FR 12015, Apr. 12, 1988; 60 FR 45086, Aug. 30, 1995]