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FEDERAL · 42 CFR

Part 410 — Supplementary Medical Insurance (SMI) Benefits

96 sections · Title 42: Public Health

§ 410.1Basis and scope.
§ 410.2Definitions.
§ 410.3Scope of benefits.
§ 410.5Other applicable rules.
§ 410.10Medical and other health services: Included services.
§ 410.12Medical and other health services: Basic conditions and limitations.
§ 410.14Special requirements for services furnished outside the United States.
§ 410.15Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage.
§ 410.16Initial preventive physical examination: Conditions for and limitations on coverage.
§ 410.17Cardiovascular disease screening tests.
§ 410.18Diabetes screening tests.
§ 410.19Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.
§ 410.20Physicians' services.
§ 410.21Limitations on services of a chiropractor.
§ 410.22Limitations on services of an optometrist.
§ 410.23Screening for glaucoma: Conditions for and limitations on coverage.
§ 410.24Limitations on services of a doctor of dental surgery or dental medicine.
§ 410.25Limitations on services of a podiatrist.
§ 410.26Services and supplies incident to a physician's professional services: Conditions.
§ 410.27Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions.
§ 410.28Hospital or CAH diagnostic services furnished to outpatients: Conditions.
§ 410.29Limitations on drugs and biologicals.
§ 410.30Prescription drugs used in immunosuppressive therapy.
§ 410.31Bone mass measurement: Conditions for coverage and frequency standards.
§ 410.32Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
§ 410.33Independent diagnostic testing facility.
§ 410.34Mammography services: Conditions for and limitations on coverage.
§ 410.35X-ray therapy and other radiation therapy services: Scope.
§ 410.36Medical supplies, appliances, and devices: Scope.
§ 410.37Colorectal cancer screening tests: Conditions for and limitations on coverage.
§ 410.38Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS): Scope and conditions.
§ 410.39Prostate cancer screening tests: Conditions for and limitations on coverage.
§ 410.40Coverage of ambulance services.
§ 410.41Requirements for ambulance providers and suppliers.
§ 410.42Limitations on coverage of certain services furnished to hospital outpatients.
§ 410.43Partial hospitalization services: Conditions and exclusions.
§ 410.44Intensive outpatient services: Conditions and exclusions.
§ 410.45Rural health clinic services: Scope and conditions.
§ 410.46Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions.
§ 410.47Pulmonary rehabilitation program: Conditions for coverage.
§ 410.48Kidney disease education services.
§ 410.49Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage.
§ 410.50Institutional dialysis services and supplies: Scope and conditions.
§ 410.52Home dialysis services, supplies, and equipment: Scope and conditions.
§ 410.53Marriage and family therapist services.
§ 410.54Mental health counselor services.
§ 410.55Services related to kidney donations: Conditions.
§ 410.56Screening pelvic examinations.
§ 410.57Preventive vaccines.
§ 410.58Additional services to HMO and CMP enrollees.
§ 410.59Outpatient occupational therapy services: Conditions.
§ 410.60Outpatient physical therapy services: Conditions.
§ 410.61Plan of treatment requirements for outpatient rehabilitation services.
§ 410.62Outpatient speech-language pathology services: Conditions and exclusions.
§ 410.63Hepatitis B vaccine and blood clotting factors: Conditions.
§ 410.64Additional preventive services.
§ 410.66Emergency outpatient services furnished by a nonparticipating hospital and services furnished in a foreign country.
§ 410.67Medicare coverage and payment of Opioid use disorder treatment services furnished by Opioid treatment programs.
§ 410.68Antigens: Scope and conditions.
§ 410.69Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions.
§ 410.71Clinical psychologist services and services and supplies incident to clinical psychologist services.
§ 410.72Registered dietitians' and nutrition professionals' services.
§ 410.73Clinical social worker services.
§ 410.74Physician assistants' services.
§ 410.75Nurse practitioners' services.
§ 410.76Clinical nurse specialists' services.
§ 410.77Certified nurse-midwives' services: Qualifications and conditions.
§ 410.78Telehealth services.
§ 410.79Medicare Diabetes Prevention Program expanded model: Conditions of coverage.
§ 410.80Applicable rules.
§ 410.100Included services.
§ 410.102Excluded services.
§ 410.105Requirements for coverage of CORF services.
§ 410.110Requirements for coverage of partial hospitalization services by CMHCs.
§ 410.111Requirements for coverage of intensive outpatient services in CMHCs.
§ 410.130Definitions.
§ 410.132Medical nutrition therapy.
§ 410.134Provider qualifications.
§ 410.140Definitions.
§ 410.141Outpatient diabetes self-management training.
§ 410.142CMS process for approving national accreditation organizations.
§ 410.143Requirements for approved accreditation organizations.
§ 410.144Quality standards for deemed entities.
§ 410.145Requirements for entities.
§ 410.146Diabetes outcome measurements.
§ 410.150To whom payment is made.
§ 410.152Amounts of payment.
§ 410.155Outpatient mental health treatment limitation.
§ 410.160Part B annual deductible.
§ 410.161Part B blood deductible.
§ 410.163Payment for services furnished to kidney donors.
§ 410.165Payment for rural health clinic services and ambulatory surgical center services: Conditions.
§ 410.170Payment for home health services, for medical and other health services furnished by a provider or an approved ESRD facility, and for comprehensive outpatient rehabilitation facility (CORF) services: Conditions.
§ 410.172Payment for partial hospitalization services in CMHCs: Conditions.
§ 410.173Payment for intensive outpatient services in CMHCs: Conditions.
§ 410.175Alien absent from the United States.