Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 80.6

Inflation Indexed Charge (IIC) for Nonphysician Services

Last amended: 2013Year: 2013Length: 161 wordsOfficial source
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)
Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 80.6: Inflation Indexed Charge (IIC) for Nonphysician Services | Justis AI