Medicare Claims Processing Manual (Pub. 100-04), Ch. 9 § 40.1
Part B Deductible
40.1 - Part B Deductible
(Rev. 13264, Issued:06-09-25; Effective: 06-02-25; Implementation: 06-02-25)
RHC services are subject to an annual deductible of twenty percent of charges for
covered services. Effective for dates of service on or after January 1, 2011, the
deductible is not applicable for certain preventive services. Please see section 70 for
more information on how to bill for preventive services.
RHCs collect the patient’s deductible or the portion of the patient’s deductible that has
not already been met. Once RHCs have billed the MAC for services, they do not collect
or accept any additional money from the patient for their deductible until the MAC
notifies the RHC of how much of the deductible has been met.
The Part B deductible does not apply to FQHC services.