Q Does having a C-arm in our new orthopedic surgery center mean we must adhere to special state or Medicare requirements?

A Medicare requires you to have a contract with a Medicare-certified radiology center. However, it doesn't require that the contract be with a hospital radiology department. State requirements vary, so check with your state for specific rules and regulations. Note that if you don't employ a contracted radiology technician in your OR, the operating surgeon must be the one to adjust and operate the C-arm. By law, nurses and other OR personnel aren't allowed to perform these tasks.