1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter B - MEDICARE PROGRAM
  5. Part 414 - PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
  6. Subpart A - General Provisions
  7. 42 CFR § 414.4
42 CFR § 414.4
Fee schedule areas
June 11, 2020
CFR

(a) General. CMS establishes physician fee schedule areas that generally conform to the geographic localities in existence before January 1, 1992.

(b) Changes. CMS announces proposed changes to fee schedule areas in the Federal Register and provides an opportunity for public comment. After considering public comments, CMS publishes the final changes in the Federal Register.

[59 FR 63463, Dec. 8, 1994]

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§ 414.2 Definitions
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§ 414.5 Hospital services paid under Medicare Part B when a Part A hospital inpatient claim is denied because the inpatient admission was not reasonable and necessary, but hospital outpatient services would have been reasonable and necessary in treating the beneficiary

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