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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 410 - Supplementary Medical Insurance (Smi) Benefits |
| Subpart A - General Provisions |
| § 410.1 - Basis and scope. |
| § 410.2 - Definitions. |
| § 410.3 - Scope of benefits. |
| § 410.5 - Other applicable rules. |
| Subpart B - Medical and Other Health Services |
| § 410.10 - Medical and other health services: Included services. |
| § 410.12 - Medical and other health services: Basic conditions and limitations. |
| § 410.14 - Special requirements for services furnished outside the United States. |
| § 410.15 - Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage. |
| § 410.16 - Initial preventive physical examination: Conditions for and limitations on coverage. |
| § 410.17 - Cardiovascular disease screening tests. |
| § 410.18 - Diabetes screening tests. |
| § 410.19 - Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage. |
| § 410.20 - Physicians' services. |
| § 410.21 - Limitations on services of a chiropractor. |
| § 410.22 - Limitations on services of an optometrist. |
| § 410.23 - Screening for glaucoma: Conditions for and limitations on coverage. |
| § 410.24 - Limitations on services of a doctor of dental surgery or dental medicine. |
| § 410.25 - Limitations on services of a podiatrist. |
| § 410.26 - Services and supplies incident to a physician's professional services: Conditions. |
| § 410.27 - Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions. |
| § 410.28 - Hospital or CAH diagnostic services furnished to outpatients: Conditions. |
| § 410.29 - Limitations on drugs and biologicals. |
| § 410.30 - Prescription drugs used in immunosuppressive therapy. |
| § 410.31 - Bone mass measurement: Conditions for coverage and frequency standards. |
| § 410.32 - Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions. |
| § 410.33 - Independent diagnostic testing facility. |
| § 410.34 - Mammography services: Conditions for and limitations on coverage. |
| § 410.35 - X-ray therapy and other radiation therapy services: Scope. |
| § 410.36 - Medical supplies, appliances, and devices: Scope. |
| § 410.37 - Colorectal cancer screening tests: Conditions for and limitations on coverage. |
| § 410.38 - Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS): Scope and conditions. |
| § 410.39 - Prostate cancer screening tests: Conditions for and limitations on coverage. |
| § 410.40 - Coverage of ambulance services. |
| § 410.41 - Requirements for ambulance providers and suppliers. |
| § 410.42 - Limitations on coverage of certain services furnished to hospital outpatients. |
| § 410.43 - Partial hospitalization services: Conditions and exclusions. |
| § 410.44 - Intensive outpatient services: Conditions and exclusions. |
| § 410.45 - Rural health clinic services: Scope and conditions. |
| § 410.46 - Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions. |
| § 410.47 - Pulmonary rehabilitation program: Conditions for coverage. |
| § 410.48 - Kidney disease education services. |
| § 410.49 - Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage. |
| § 410.50 - Institutional dialysis services and supplies: Scope and conditions. |
| § 410.52 - Home dialysis services, supplies, and equipment: Scope and conditions. |
| § 410.53 - Marriage and family therapist services. |
| § 410.54 - Mental health counselor services. |
| § 410.55 - Services related to kidney donations: Conditions. |
| § 410.56 - Screening pelvic examinations. |
| § 410.57 - Preventive vaccines. |
| § 410.58 - Additional services to HMO and CMP enrollees. |
| § 410.59 - Outpatient occupational therapy services: Conditions. |
| § 410.60 - Outpatient physical therapy services: Conditions. |
| § 410.61 - Plan of treatment requirements for outpatient rehabilitation services. |
| § 410.62 - Outpatient speech-language pathology services: Conditions and exclusions. |
| § 410.63 - Hepatitis B vaccine and blood clotting factors: Conditions. |
| § 410.64 - Additional preventive services. |
| § 410.66 - Emergency outpatient services furnished by a nonparticipating hospital and services furnished in a foreign country. |
| § 410.67 - Medicare coverage and payment of Opioid use disorder treatment services furnished by Opioid treatment programs. |
| § 410.68 - Antigens: Scope and conditions. |
| § 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions. |
| § 410.71 - Clinical psychologist services and services and supplies incident to clinical psychologist services. |
| § 410.72 - Registered dietitians' and nutrition professionals' services. |
| § 410.73 - Clinical social worker services. |
| § 410.74 - Physician assistants' services. |
| § 410.75 - Nurse practitioners' services. |
| § 410.76 - Clinical nurse specialists' services. |
| § 410.77 - Certified nurse-midwives' services: Qualifications and conditions. |
| § 410.78 - Telehealth services. |
| § 410.79 - Medicare diabetes prevention program expanded model: Conditions of coverage. |
| Subpart C - Home Health Services Under SMI |
| § 410.80 - Applicable rules. |
| Subpart D - Comprehensive Outpatient Rehabilitation Facility (CORF) Services |
| § 410.100 - Included services. |
| § 410.102 - Excluded services. |
| § 410.105 - Requirements for coverage of CORF services. |
| Subpart E - Community Mental Health Centers (CMHCs) Providing Partial Hospitalization Services and Intensive Outpatient Services |
| § 410.110 - Requirements for coverage of partial hospitalization services by CMHCs. |
| § 410.111 - Requirements for coverage of intensive outpatient services in CMHCs. |
| Subpart F - XXX |
| Subpart G - Medical Nutrition Therapy |
| § 410.130 - Definitions. |
| § 410.132 - Medical nutrition therapy. |
| § 410.134 - Provider qualifications. |
| Subpart H - Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements |
| § 410.140 - Definitions. |
| § 410.141 - Outpatient diabetes self-management training. |
| § 410.142 - CMS process for approving national accreditation organizations. |
| § 410.143 - Requirements for approved accreditation organizations. |
| § 410.144 - Quality standards for deemed entities. |
| § 410.145 - Requirements for entities. |
| § 410.146 - Diabetes outcome measurements. |
| Subpart I - Payment of SMI Benefits |
| § 410.150 - To whom payment is made. |
| § 410.152 - Amounts of payment. |
| § 410.155 - Outpatient mental health treatment limitation. |
| § 410.160 - Part B annual deductible. |
| § 410.161 - Part B blood deductible. |
| § 410.163 - Payment for services furnished to kidney donors. |
| § 410.165 - Payment for rural health clinic services and ambulatory surgical center services: Conditions. |
| § 410.172 - Payment for partial hospitalization services in CMHCs: Conditions. |
| § 410.173 - Payment for intensive outpatient services in CMHCs: Conditions. |
| § 410.175 - Alien absent from the United States. |