42 CFR 405.209 : Public Health (Part 1 To Parts 1009-1099) — (Subpart A To § 413.355) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Subpart A To § 413.355) — Medicare Program (Subpart A To § 413.355) — Federal Health Insurance For The Aged And Disabled (Subpart A To § 405.2472) — Medical Services Coverage Decisions That Relate To Health Care Technology (§ 405.201 To § 405.215) — Payment for a Category B (Nonexperimental/investigational) device.

4 Aug 2016

Payment under Medicare for a Category B (Nonexperimental/investigational) device is based on, and may not exceed, the amount that would have been paid for a currently used device serving the same medical purpose that has been approved or cleared for marketing by the FDA.

42 CFR 405.209
[78 FR 74809, Dec. 10, 2013]