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7 AAC 110.435. Physician laboratory services. (a) The department will pay for laboratory services provided by a physician in the physician’s own laboratory if the physician holds a CMS Clinical Laboratory Improvement Amendments (CLIA) certificate of waiver under 42 C.F.R. 493.35 — 493.37 or a registration certificate under 42 C.F.R. 493.43 — 493.45. (b) A physician using the services of an independent laboratory must request services for a recipient in the same manner that services are requested for a private patient. (c) An independent laboratory enrolled in accordance with 7 AAC 105.210 may submit a claim directly to the department. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 110.440. Physician radiology and imaging services. (a) The department will pay for diagnostic and follow-up x-rays without prior approval by the department, but films shall be made available to the department on request. (b) The department will not pay for radiologic contrast material separate from coverage for an x-ray except for low osmolar contrast material (LOCM) used in intrathecal, intravenous, and intra-arterial injections for a recipient with

(1) a history of previous adverse reaction to contrast material other than a sensation of heat, flushing, or a single episode of nausea or vomiting;

(2) a history of asthma or allergy;

(3) significant cardiac dysfunction, including recent or imminent cardiac decompensation, severe arrhythmias, unstable angina pectoris, recent myocardial infarction, or pulmonary hypertension;

(4) general severe debilitation; or