{"data":{"id":"us/42-cfr-486.104","jurisdiction":"us","citation":"42 CFR 486.104","heading":"Condition for coverage: Qualifications, orientation and health of technical personnel.","body":"Portable X-ray services are provided by qualified technologists.\n(a) Standard: Qualifications of technologists. All operators of the portable X-ray equipment meet the requirements of paragraph (a)(1) or (2) of this section.\n(1) Successful completion of a program of formal training in X-ray technology at which the operator received appropriate training and demonstrated competence in the use of equipment and administration of portable x-ray procedures; or\n(2) Successful completion of 24 full months of training and experience under the direct supervision of a physician who is certified in radiology or who possesses qualifications which are equivalent to those required for such certification.\n(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:\n(1) Precautions to be followed to protect the patient from unnecessary exposure to radiation;\n(2) Precautions to be followed to protect an individual supporting the patient during X-ray procedures from unnecessary exposure to radiation;\n(3) Precautions to be followed to protect other individuals in the surrounding environment from exposure to radiation;\n(4) Precautions to be followed to protect the operator of portable X-ray equipment from unnecessary exposure to radiation;\n(5) Considerations in determining the area which will receive the primary beam;\n(6) Determination of the time interval at which to check personnel radiation monitors;\n(7) Use of the personnel radiation monitor in providing an additional check on safety of equipment;\n(8) Proper use and maintenance of equipment;\n(9) Proper maintenance of records;\n(10) Technical problems which may arise and methods of solution;\n(11) Protection against electrical hazards;\n(12) Hazards of excessive exposure to radiation.\n(c) Standard: Employee records. Records are maintained and include evidence that—\n(1) Each employee is qualified for his or her position by means of training and experience; and\n(2) Employees receive adequate health supervision.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 486—CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS","Subpart C—Conditions for Coverage: Portable X-Ray Services"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"a62b27b3c7a19430349ab908cc770bc3c9fecccbdfa866e6667f49b00a62fcd4","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-486.102","next":"us/42-cfr-486.106"},"notice":"GroundRules: Original legal text. Not legal advice."}