---
kind: "section"
citation: "42 C.F.R. § 424.124"
title: "42"
number: "424.124"
heading: "Conditions for payment for physician services and ambulance services."
url: "https://uscodex.org/cfr/42/424.124"
---

# §424.124. Conditions for payment for physician services and ambulance services.

- (a) **Basic rules.** Medicare Part B pays for physician and ambulance services if—
  - (1) **They are furnished—**
    - (i) To an individual who is entitled to Part B benefits; and
    - (ii) In connection with covered inpatient hospital services; and
  - (2) **They meet the conditions set forth in paragraphs (b) and (c) of this section.**
- (b) **Physician services.**
  - (1) **The physician services are services covered under Medicare Part B and are furnished—**
    - (i) In the hospital, during a period of covered inpatient services; or
    - (ii) Outside the hospital, on the day of admission and for the same condition that required inpatient admission; and
  - (2) **The physician is legally authorized to practice in the country where he or she furnishes the services.**
- (c) **Ambulance services.** The ambulance services are—
  - (1) Necessary because the use of other means of transportation is contraindicated by the beneficiary's condition; and
  - (2) Furnished by an ambulance that meets the definition in [§ 410.41](/cfr/42/410.41.md) of this chapter.

## Notes

### Amendments

[53 FR 6646, Mar. 2, 1988; 53 FR 12945, Apr. 20, 1988; 64 FR 3649, Jan. 25, 1999]

### Authority

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

### Source

Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

### Amendments

[53 FR 6646, Mar. 2, 1988; 53 FR 12945, Apr. 20, 1988; 64 FR 3649, Jan. 25, 1999]