---
kind: "section"
citation: "42 C.F.R. § 414.56"
title: "42"
number: "414.56"
heading: "Payment for nurse practitioners' and clinical nurse specialists' services."
url: "https://uscodex.org/cfr/42/414.56"
---

# §414.56. Payment for nurse practitioners' and clinical nurse specialists' services.

- (a) **Rural areas.** For services furnished beginning January 1, 1992 and ending December 31, 1997, allowed amounts for the services of a nurse practitioner or a clinical nurse specialist in a rural area (as described in section 1861(s)(2)(K)(iii) of the Act) may not exceed the following limits:
  - (1) For services furnished in a hospital (including assistant-at-surgery services), 75 percent of the physician fee schedule amount for the service.
  - (2) **For all other services, 85 percent of the physician fee schedule amount for the service.**
- (b) **Non-rural areas.** For services furnished beginning January 1, 1992 and ending December 31, 1997, allowed amounts for the services of a nurse practitioner or a clinical nurse specialist in a nursing facility may not exceed 85 percent of the physician fee schedule amount for the service.
- (c) **Beginning January 1, 1998.** For services (other than assistant-at-surgery services) furnished beginning January 1, 1998, allowed amounts for the services of a nurse practitioner or clinical nurse specialist may not exceed 85 percent of the physician fee schedule amount for the service. For assistant-at-surgery services, allowed amounts for the services of a nurse practitioner or clinical nurse specialist may not exceed 85 percent of the physician fee schedule amount that would be allowed under the physician fee schedule if the assistant-at-surgery service were furnished by a physician.

## Notes

### Amendments

[63 FR 58911, Nov. 2, 1998]

### Source

Source: 56 FR 59624, Nov. 25, 1991; 57 FR 42492, Sept. 15, 1992, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[63 FR 58911, Nov. 2, 1998]