---
kind: "section"
citation: "42 C.F.R. § 409.22"
title: "42"
number: "409.22"
heading: "Bed and board."
url: "https://uscodex.org/cfr/42/409.22"
---

# §409.22. Bed and board.

- (a) **Semiprivate and ward accommodations.** Except for applicable deductible and coinsurance amounts Medicare Part A pays in full for semiprivate (2 to 4 beds), or ward (5 or more beds) accommodations.
- (b) **Private accommodations—**
  - (1) **Conditions for payment in full.** Except for applicable coinsurance amounts, Medicare pays in full for a private room if—
    - (i) The patient's condition requires him to be isolated;
    - (ii) The SNF has no semiprivate or ward accommodations; or
    - (iii) The SNF semiprivate and ward accommodations are fully occupied by other patients, were so occupied at the time the patient was admitted to the SNF for treatment of a condition that required immediate inpatient SNF care, and have been so occupied during the interval.
  - (2) **Period of payment.** In the situations specified in [paragraph (b)(1)](#b-1) (i) and (iii) of this section. Medicare pays for a private room until the patient's condition no longer requires isolation or until semiprivate or ward accommodations are available.
  - (3) **Conditions for patient's liability.** The facility may charge the patient the difference between its customary charge for the private room furnished and its most prevalent charge for a semiprivate room if:
    - (i) None of the conditions of [paragraph (b)(1)](#b-1) of this section is met, and
    - (ii) The private room was requested by the patient or a member of the family who, at the time of request was informed what the charge would be.

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 48 FR 12541, Mar. 25, 1983, unless otherwise noted.