Title 42--Public Health

CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES


TEXT PDF414.1 Basis and scope.
TEXT PDF414.2 Definitions.
TEXT PDF414.4 Fee schedule areas.
TEXT PDF414.20 Formula for computing fee schedule amounts.
TEXT PDF414.21 Medicare payment basis.
TEXT PDF414.22 Relative value units (RVUs).
TEXT PDF414.24 Review, revision, and addition of RVUs for physician services.
TEXT PDF414.26 Determining the GAF.
TEXT PDF414.28 Conversion factors.
TEXT PDF414.30 Conversion factor update.
TEXT PDF414.32 Determining payments for certain physicians' services furnished in facility settings.
TEXT PDF414.34 Payment for services and supplies incident to a physician's service.
TEXT PDF414.36 Payment for drugs incident to a physician's service.
TEXT PDF414.38 Special rules for payment of low osmolar contrast media.
TEXT PDF414.39 Special rules for payment of care plan oversight.
TEXT PDF414.40 Coding and ancillary policies.
TEXT PDF414.42 Adjustment for first 4 years of practice.
TEXT PDF414.44 Transition rules.
TEXT PDF414.46 Additional rules for payment of anesthesia services.
TEXT PDF414.48 Limits on actual charges of nonparticipating suppliers.
TEXT PDF414.50 Physician billing for purchased diagnostic tests.
TEXT PDF414.52 Payment for physician assistants' services.
TEXT PDF414.54 Payment for certified nurse-midwives' services.
TEXT PDF414.56 Payment for nurse practitioners' and clinical nurse specialists' services.
TEXT PDF414.58 Payment of charges for physician services to patients in providers.
TEXT PDF414.60 Payment for the services of CRNAs.
TEXT PDF414.62 Fee schedule for clinical psychologist services.
TEXT PDF414.63 Payment for outpatient diabetes self-management training.
TEXT PDF414.65 Payment for consultations via interactive telecommunications systems.
TEXT PDF414.100 Purpose.
TEXT PDF414.102 General payment rules.
TEXT PDF414.104 PEN Items and Services.
TEXT PDF414.200 Purpose.
TEXT PDF414.202 Definitions.
TEXT PDF414.210 General payment rules.
TEXT PDF414.220 Inexpensive or routinely purchased items.
TEXT PDF414.222 Items requiring frequent and substantial servicing.
TEXT PDF414.224 Customized items.
TEXT PDF414.226 Oxygen and oxygen equipment.
TEXT PDF414.228 Prosthetic and orthotic devices.
TEXT PDF414.229 Other durable medical equipment--capped rental items.
TEXT PDF414.230 Determining a period of continuous use.
TEXT PDF414.232 Special payment rules for transcutaneous electrical nerve stimulators (TENS).
TEXT PDF414.300 Scope of subpart.
TEXT PDF414.310 Determination of reasonable charges for physician services furnished to renal dialysis patients.
TEXT PDF414.313 Initial method of payment.
TEXT PDF414.314 Monthly capitation payment method.
TEXT PDF414.316 Payment for physician services to patients in training for self-dialysis and home dialysis.
TEXT PDF414.320 Determination of reasonable charges for physician renal transplantation services.
TEXT PDF414.330 Payment for home dialysis equipment, supplies, and support services.
TEXT PDF414.335 Payment for EPO furnished to a home dialysis patient for use in the home.









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