Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 70
Covered Medicare Part B Services That May Be Paid to IHS
70 - Covered Medicare Part B Services That May Be Paid to IHS
Providers, Physicians and Practitioners
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Medicare Part B covers medically necessary expenses incurred for the following medical
and other health services:
• Diagnostic x-ray tests, and other diagnostic tests;
• Physician services;
• Anesthesia services (anesthesiologist, certified registered nurse anesthetist);
• Practitioner services (clinical nurse specialist, clinical psychologist, clinical social
worker, nurse mid-wife, nurse practitioner, physician assistant);
• Drugs and biologicals incident to a physician’s service;
• X-ray, radium, and radioactive isotope therapy, including materials and services
of technicians;
• Implantable prosthetic devices;
• Drugs used with infusion pumps;
• Epoetin Alfa (EPO);
• Clinical diagnostic laboratory tests;
• Physical therapy, occupational therapy (OT), speech-language pathology and
audiology services;
• Ambulance services;
• Medical Nutrition Therapy (MNT);
• Diabetes self management training (DSMT);
• Telehealth; and
• Hemophilia clotting factors for hemophilia patients competent to use these factors
(without supervision).