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Reminder: Billing for Contrast Agents in Radiological Procedures

Fidelis Care would like to remind providers of billing expectations related to contrast agents used in radiological testing, in alignment with New York State Medicaid guidance.

Overview

Radiological procedures that require the use of contrast agents must be billed in accordance with New York State Medicaid program requirements and applicable coding guidelines. Any contrast agents used for radiological testing are not reimbursable, as they are included in the fee of the radiologist.

Providers are encouraged to review Medicaid resources to ensure proper billing and reimbursement.

Reference Resources

Providers may review the following New York State Medicaid resources for additional information:

• NY Medicaid Update (April 2025):
  https://www.health.ny.gov/health_care/medicaid/program/update/2025/no04_2025-04.htm
• Medicaid Pharmacy Program:
  https://www.health.ny.gov/health_care/medicaid/redesign/2011-08-25_medicaid_pharmacy_program
• eMedNY Forms and Billing Guidance:
  https://www.emedny.org/info/formfile.aspx
• Physician Procedure Codes Manual:
  https://www.emedny.org/providermanuals/Physician/PDFS/Physician%20Procedure%20Codes%20Sect4.pdf