42 C.F.R. § 405.2413

Services and supplies incident to a physician's services.

Last amended: 2024Year: 2026Length: 195 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 405.2413 (2026)

(a) Services and supplies incident to a physician's professional service are reimbursable under this subpart if the service or supply is: (1) Of a type commonly furnished in physicians' offices; (2) Of a type commonly rendered either without charge or included in the RHC's or FQHC's bill; (3) Furnished as an incidental, although integral, part of a physician's professional services; (4) Services and supplies must be furnished in accordance with applicable State law; and (5) Furnished under the direct supervision of a physician, except that services and supplies furnished incident to Transitional Care Management, General Care Management, the Psychiatric Collaborative Care Model, and behavioral health services can be furnished under general supervision of a physician when these services or supplies are furnished by auxiliary personnel, as defined in § 410.26(a)(1) of this chapter. (b) Only drugs and biologicals which cannot be self-administered are included within the scope of this benefit. [43 FR 8261, Mar. 1, 1978, as amended at 78 FR 74810, Dec. 10, 2013; 79 FR 25475, May 2, 2014; 79 FR 68001, Nov. 13, 2014; 81 FR 80552, Nov. 15, 2016; 82 FR 53358, Nov. 15, 2017; 88 FR 79523, Nov. 16, 2023]
Cross-references to the CFR
410.26
42 C.F.R. § 405.2413: Services and supplies incident to a physician's services. | Justis AI