Editorial Note on Part 410
Editorial Note: Nomenclature changes to part 410 appear at 62 FR 46037, Aug. 29, 1997.

§ 410.10 Medical and other health services: Included services. Subject to the conditions and limitations specified in this subpart, “medical and other health services” includes the following services: ( a ) Physicians' services.
( b ) Services and supplies furnished incident to a physician's professional services, of kinds that are commonly furnished in physicians' offices and are commonly either furnished without charge or included in the physicians' bills.
( c ) Services and supplies, including partial hospitalization services and intensive outpatient services, that are incident to physician services and are furnished to outpatients by or under arrangements made by a hospital or a CAH.
( d ) Diagnostic services furnished to outpatients by or under arrangements made by a hospital or a CAH if the services are services that the hospital or CAH ordinarily furnishes to its outpatients for diagnostic study.
( e ) Diagnostic laboratory and X-ray tests (including diagnostic mammography that meets the conditions for coverage specified in § 410.34(b) of this subpart) and other diagnostic tests.
( f ) X-ray therapy and other radiation therapy services.
( g ) Medical supplies, appliances, and devices.
( h ) Durable medical equipment.
( i ) Ambulance services.
( j ) Rural health clinic services.
( k ) Home dialysis supplies and equipment; on or after July 1, 1991, epoetin (EPO) for home dialysis patients, and, on or after January 1, 1994, for dialysis patients, competent to use the drug; self-care home dialysis support services; and institutional dialysis services and supplies.
( l ) Pneumococcal, influenza, and COVID-19 vaccines (or monoclonal antibodies used for preexposure prophylaxis of COVID-19) and their administration.
( m ) Outpatient physical therapy and speech pathology services.
( n ) Cardiac pacemakers and pacemaker leads.
( o ) Additional services furnished to enrollees of HMOs or CMPs, as described in § 410.58.
( p ) Hepatitis B vaccine and its administration, as defined in § 410.63(a) of this subchapter.
( q ) Blood clotting factors for hemophilia patients competent to use these factors without medical or other supervision.
( r ) Screening mammography services.
( s ) Federally qualified health center services.
( t ) Services of a certified registered nurse anesthetist or an anesthesiologist's assistant.
( u ) Prescription drugs used in immunosuppressive therapy.
( v ) Clinical psychologist services and services and supplies furnished as an incident to the services of a clinical psychologist, as provided in § 410.71.
( w ) Clinical social worker services, as provided in § 410.73.
( x ) Services of physicians and other practitioners furnished in or at the direction of an IHS or Indian tribal hospital or clinic.
( y ) Intravenous immune globulin, including items and services, administered in the home for the treatment of primary immune deficiency diseases.
( z ) Marriage and Family Therapist services, as provided in § 410.53.
( aa ) Mental Health Counselor services, as provided in § 410.54.
[51 FR 41339, Nov. 14, 1986, as amended at 52 FR 27765, July 23, 1987; 55 FR 22790, June 4, 1990; 55 FR 53522, Dec. 31, 1990; 56 FR 8841, Mar. 1, 1991; 56 FR 43709, Sept. 4, 1991; 57 FR 24981, June 12, 1992; 57 FR 33896, July 31, 1992; 58 FR 30668, May 26, 1993; 59 FR 26959, May 25, 1994; 59 FR 49833, Sept. 30, 1994; 60 FR 8955, Feb. 16, 1995; 63 FR 20128, Apr. 23, 1998; 66 FR 55328, Nov. 1, 2001; 69 FR 66420, Nov. 15, 2004; 87 FR 70223, Nov. 18, 2022; 88 FR 77874, Nov. 13, 2023; 88 FR 79525, Nov. 16, 2023; 88 FR 82177, Nov. 22, 2023]