X-rays
Medicare Coverage Information
Overview
Medicare typically covers medically necessary X-rays as part of diagnostic testing when ordered by a qualified healthcare provider. These diagnostic imaging services are usually covered under Medicare Part B, with specific conditions and potential out-of-pocket costs.
- X-rays must be ordered by a Medicare-approved healthcare provider
- Covered when medically necessary for diagnosis or treatment
- Performed in hospital outpatient settings or doctor's offices
- Requires meeting Medicare's medical necessity guidelines
- Different coverage rules may apply for inpatient vs. outpatient X-rays
- Medicare Part B beneficiaries
- Individuals with Original Medicare
- Some Medicare Advantage plans may offer additional X-ray coverage
- Typically covered under Medicare Part B
- Beneficiary may pay 20% of Medicare-approved amount after meeting Part B deductible
- No cost if X-ray is part of a Medicare-covered hospital stay
- Must be prescribed by a qualified healthcare professional
- X-ray must be deemed medically necessary
- Cosmetic or screening X-rays typically not covered
- Some advanced imaging might require additional authorization
- Confirm medical necessity with your healthcare provider
- Verify X-ray coverage with your specific Medicare plan
- Ask your doctor about potential out-of-pocket costs
- Keep all medical documentation for potential reimbursement
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare X-raysdiagnostic imagingmedical imagingMedicare Part Bradiology coverage
Related Coverage Topics
Questions About X-rays?
Our experts can help you understand your Medicare coverage for x-rays. Get personalized guidance on costs, eligibility, and next steps.