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CMS-1403-FC
● Screening pelvic exams (§410.56);
● Prostate cancer screening tests (§410.39);
● Glaucoma screening exams (§410.23);
● Ultrasound screening for abdominal aortic aneurysms
(AAA)(§410.19);
(§410.16).
● Cardiovascular disease screening tests (§410.17);
● Diabetes screening tests (§410.18); and
● The initial preventive physical examination (IPPE)
Section 101(a) of the MIPPA provides for coverage
under Part B of “additional preventive services”, which are
determined to meet certain requirements, effective for
services furnished on or after January 1, 2009. Section
101(a) of the MIPPA provides the Secretary with the
authority to add coverage of “additional preventive
services”, and specifies the process and the criteria that
are to be used in making determinations regarding the
coverage of such services under the Part B program. As
provided in the law, this new coverage allows payment for
“additional preventive services” not otherwise described in
Title XVIII of the Act, if the Secretary determines through
the national coverage determination (NCD) process (as
defined in section 1869(f)(1)(B) of the Act) that the new
services meet statutory requirements for coverage.
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