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CMS-1403-FC §410.78 Telehealth Services * * * * * (b) General rule. Medicare Part B pays for office and other outpatient visits, professional consultation, psychiatric diagnostic interview examination, individual psychotherapy, pharmacologic management, end-stage renal disease-related services included in the monthly capitation payment (except for one visit per month to examine the access site), individual medical nutrition therapy, the neurobehavioral status exam, and follow-up telehealth consultations furnished by an interactive telecommunications system if the following conditions are met: * * * * * (3) * * * (vi) A hospital-based or critical access hospital- based renal dialysis center (including satellites). (vii) A skilled nursing facility (as defined in section 1819(a) of the Act). (viii) A community mental health center (as defined in section 1861(ff)(3)(B) of the Act). * * * * * Subpart I-Payment of SMI Benefits 1106
CMS-1403-FC 14. Section 410.155 is amended by revising the introductory text of paragraph (b)(1) to read as follows: §410.155 Outpatient mental health treatment limitation. * * * * * (b) * * * (1) Services subject to the limitation. Except as specified in paragraph (b)(2) of this section, services furnished by physicians and other practitioners, whether furnished directly or incident to those practitioners’ services, are subject to the limitation if they are furnished in connection with the treatment of a mental, psychoneurotic, or personality disorder (that is, any condition identified by a diagnosis code within the range of 290 through 319) and are furnished to an individual who is not an inpatient of a hospital: * * * * * 15. Section 410.160 is amended by adding paragraph (b)(9) to read as follows: §410.160 Part B annual deductible. * * * * * (b) * * * (9) Beginning January 1, 2009, initial preventive physical examinations as described in §410.16. * * * * * 1107
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<strong>CMS</strong>-1403-FC<br />
14. Section 410.155 is amended by revising the<br />
introductory text of paragraph (b)(1) to read as follows:<br />
§410.155 Outpatient mental health treatment limitation.<br />
* * * * *<br />
(b) * * *<br />
(1) Services subject to the limitation. Except as<br />
specified in paragraph (b)(2) of this section, services<br />
furnished by physicians and other practitioners, whether<br />
furnished directly or incident to those practitioners’<br />
services, are subject to the limitation if they are<br />
furnished in connection with the treatment of a mental,<br />
psychoneurotic, or personality disorder (that is, any<br />
condition identified by a diagnosis code within the range<br />
of 290 through 319) and are furnished to an individual who<br />
is not an inpatient of a hospital:<br />
* * * * *<br />
15. Section 410.160 is amended by adding paragraph<br />
(b)(9) to read as follows:<br />
§410.160 Part B annual deductible.<br />
* * * * *<br />
(b) * * *<br />
(9) Beginning January 1, 2009, initial preventive<br />
physical examinations as described in §410.16.<br />
* * * * *<br />
1107