Current through October 31, 2024
Section 405.2413 - Services and supplies incident to a physician's services(a) Services and supplies incident to a physician's professional service are reimbursable under this subpart if the service or supply is: (1) Of a type commonly furnished in physicians' offices;(2) Of a type commonly rendered either without charge or included in the RHC's or FQHC's bill;(3) Furnished as an incidental, although integral, part of a physician's professional services;(4) Services and supplies must be furnished in accordance with applicable State law; and(5) 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.(b) Only drugs and biologicals which cannot be self-administered are included within the scope of this benefit.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 81 FR 80552 , 11/15/2016; 82 FR 53358 , 1/1/2018; 88 FR 79523 , 1/1/2024