Other Diagnostic or Therapeutic Items or Services

50 - Other Diagnostic or Therapeutic Items or Services (Rev. 1, 10-01-03) A3-3101.5, HO-210.5 Other diagnostic or therapeutic items or services ordinarily furnished inpatients by the hospital or by others under arrangements made by the hospital are covered. This category of covered services encompasses items and services not otherwise specifically listed as covered inpatient hospital services. (See the Medicare Benefit Policy Manual, Chapter 15, “Covered Medical and Other Health Services.”) Such services to hospital inpatients may be covered under Part A even when furnished off the hospital premises. For example, diagnostic or therapeutic services of an audiologist off the hospital premises are covered if billed for by the hospital under arrangements (see Pub 100-01, the Medicare General Information, Eligibility, and Entitlement Manual, Chapter 5, §10.3, for further information concerning “under arrangements”), if the services are furnished at a speech and hearing center, and if the audiologist meets the qualifications for an audiologist: • Is licensed if applicable by the State in which practicing; and • Is eligible for a certification of clinical competence in audiology granted by the American Speech and Hearing Association; or • Meets the education requirements for certification and is in the process of accumulating the supervised experience required for certification.