Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 80.6
Inflation Indexed Charge (IIC) for Nonphysician Services
80.6 - Inflation Indexed Charge (IIC) for Nonphysician Services
(Rev. 2837, Issued: 12-13-13, Effective: 01-01-14 - payment reasonable charge
basis/04-01-14 - payment national fee schedule basis, Implementation: 01-06-14 -
payment reasonable charge basis/04-07-14 - payment national fee schedule basis)
A General
Effective for services rendered on or after October 1, 1985, an additional factor - the
inflation indexed charge (IIC), is added to the factors taken into consideration in
determining reasonable charges for non-physician services. Non-physician services are
defined as those Part B medical services, supplies, and equipment reimbursed on a
reasonable charge basis and not subject to the application of the Medicare Economic Index
(MEI).
Examples of items affected by the IIC are:
•
Prosthetic and orthotic devices not subject to the fee schedules [Therapeutic Shoes
(2005 and prior), Intraocular Lenses (2014 and prior)];
•
Blood products and transfusion medicine;
•
Certain medical supplies used in connection with home dialysis (2011 and prior);
and
•
Ambulance services (2001 and prior)