§405.2413. Services and supplies incident to a physician's services.
42 C.F.R. § 405.2413
Services and supplies incident to a physician's professional service are reimbursable under this subpart if the service or supply is:
Of a type commonly furnished in physicians' offices;
Of a type commonly rendered either without charge or included in the RHC's or FQHC's bill;
Furnished as an incidental, although integral, part of a physician's professional services;
Services and supplies must be furnished in accordance with applicable State law; and
Furnished under the direct supervision of a physician, except that services and supplies furnished incident to Transitional Care Management, General Care Management, the Psychiatric Collaborative Care Model, and behavioral health services can be furnished under general supervision of a physician when these services or supplies are furnished by auxiliary personnel, as defined in § 410.26(a)(1) of this chapter.
Only drugs and biologicals which cannot be self-administered are included within the scope of this benefit.
Notes, amendments, and revision history
Amendments
[43 FR 8261, Mar. 1, 1978, as amended at 78 FR 74810, Dec. 10, 2013; 79 FR 25475, May 2, 2014; 79 FR 68001, Nov. 13, 2014; 81 FR 80552, Nov. 15, 2016; 82 FR 53358, Nov. 15, 2017; 88 FR 79523, Nov. 16, 2023]
Authority
Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
Source
Source: 43 FR 8261, Mar. 1, 1978, unless otherwise noted.
Authority
Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).
Amendments
[43 FR 8261, Mar. 1, 1978, as amended at 78 FR 74810, Dec. 10, 2013; 79 FR 25475, May 2, 2014; 79 FR 68001, Nov. 13, 2014; 81 FR 80552, Nov. 15, 2016; 82 FR 53358, Nov. 15, 2017; 88 FR 79523, Nov. 16, 2023]