Program Operations Manual System (POMS)
HI 00620.000 Exclusions from Coverage
Subchapter Table of Contents
| Section |
|
Latest
Transmittal |
| HI 00620.001 |
General Exclusions |
|
| HI 00620.010 |
Services Not Reasonable and Necessary |
|
| HI 00620.020 |
No Obligation to Pay for or Provide Services |
TN 14 02-23 |
| HI 00620.030 |
Items and Services Furnished or Paid for by Governmental Entities |
|
| HI 00620.040 |
Items and Services Furnished by a Federal Provider of Services or Federal Agency |
|
| HI 00620.050 |
Items and Services which a Provider, Physician or Supplier is Obligated to Furnish
at Public Expense Pursuant to an Authorization Issued by a Federal Agency
|
TN 13 11-22 |
| HI 00620.060 |
Items or Services Which are Paid For by a Governmental Entity |
TN 13 11-22 |
| HI 00620.070 |
Illustrations |
TN 13 11-22 |
| HI 00620.080 |
Services Not Provided Within the United States |
TN 15 04-24 |
| HI 00620.090 |
Services Resulting From War |
|
| HI 00620.100 |
Personal Comfort Items |
TN 13 11-22 |
| HI 00620.110 |
Routine Services and Appliances |
|
| HI 00620.120 |
Supportive Devices for Feet |
|
| HI 00620.130 |
Custodial Care |
TN 13 11-22 |
| HI 00620.140 |
Cosmetic Surgery |
TN 12 10-89 |
| HI 00620.150 |
Charges Imposed by Immediate Relatives of the Patient or Members of His Household |
TN 16 05-24 |
| HI 00620.160 |
Dental Services Exclusion |
TN 12 10-89 |
| HI 00620.170 |
Workers' Compensation |
TN 12 10-89 |
| HI 00620.171 |
Private Right of Action |
TN 12 10-89 |
| HI 00620.175 |
Services Reimbursable Under Automobile, No-Fault, or Any Liability Insurance |
TN 13 11-22 |
| HI 00620.177 |
Medicare as Secondary Payer for End Stage Renal Disease (ESRD) Beneficiaries and for
Employed Beneficiaries Age 65 or Over (Working Aged) and the Spouses Age 65 or Over
of Employed Individuals of Any Age
|
TN 13 11-22 |
| HI 00620.178 |
Medicare as Secondary Payer for Disabled Individuals |
TN 13 11-22 |
| HI 00620.180 |
Excluded Foot Care Services |
|
| HI 00620.190 |
Application of Foot Care Exclusion to Physicians' Services |
|
| HI 00620.200 |
Exclusion of Refractive Services |
|