42 CFR §409.14
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Except as specified in paragraph (b) of this section, Medicare pays for supplies, appliances, and equipment as inpatient hospital or inpatient CAH services only if—
- (b)Exceptions. Medicare pays for items to be used beyond the hospital or CAH stay if—
- (1)The item is one that the beneficiary must continue to use after he or she leaves the hospital or CAH, for example, heart valves or a heart pacemaker, or
- (2)The item is medically necessary to permit or facilitate the beneficiary's departure from the hospital or CAH and is required until the beneficiary can obtain a continuing supply. Tracheostomy or draining tubes are examples.