Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.1
Inexpensive or Routinely Purchased Items
40.3.1.1 - Inexpensive or Routinely Purchased Items
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
The standard provisions for determining the payment amount for inexpensive or routinely
purchased items in section 30.1 of chapter 20 of this manual continue to apply when these items
are furnished by grandfathered suppliers. Payment for the items is based on the lower of the
actual charge or fee schedule amount for each item.