Basis and scope.

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§ 486.1 Basis and scope.

(a) Statutory basis. This part is based on the following sections of the Act:

1102 and 1138(b), 1871 of the Social Security Act, section 371(b) of the Public Health Service Act - for coverage of organ procurement services.

1861(p) - for coverage of outpatient physical therapy services furnished by physical therapists in independent practice.

1861(s) (3), (15), and (17) - for coverage of portable X-ray services.

(b) Scope.

(1) This part sets forth the conditions for coverage of certain specialized services that are furnished by suppliers and that are not specified in other portions of this chapter.

(2) The conditions for coverage of other specialized services furnished by suppliers are set forth in the following regulations which, unless otherwise indicated, are part of this chapter:

(i) Ambulatory surgical center (ASC) services - Part 416.

(ii) Ambulance services - Part 410, subpart B.

(iii) ESRD services - Part 405, subpart U.

(iv) Laboratory services - Part 493.

(v) Mammography services - Part 410, subpart B (§ 410.34) and 21 CFR part 900, subpart B, of the Food and Drug Administration regulations.

(vi) Rural health clinic and Federally qualified health center services - Part 491, subpart A.

[60 FR 50447, Sept. 29, 1995, as amended at 71 FR 31046, May 31, 2006]


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