[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR405.207] [Page 89] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 405_FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED--Table of Contents Subpart B_Medical Services Coverage Decisions That Relate to Health Care Technology Sec. 405.207 Services related to a noncovered device. (a) When payment is not made. Medicare payment is not made for medical and hospital services that are related to the use of a device that is not covered because CMS determines the device is not ``reasonable'' and ``necessary'' under section 1862(a)(1)(A) of the Act or because it is excluded from coverage for other reasons. These services include all services furnished in preparation for the use of a noncovered device, services furnished contemporaneously with and necessary to the use of a noncovered device, and services furnished as necessary after-care that are incident to recovery from the use of the device or from receiving related noncovered services. (b) When payment is made. Medicare payment may be made for-- (1) Covered services to treat a condition or complication that arises due to the use of a noncovered device or a noncovered device- related service; or (2) Routine care services related to experimental/investigational (Category A) devices as defined in Sec. 405.201(b); and furnished in conjunction with an FDA-approved clinical trial. The trial must meet criteria established through the national coverage determination process; and if the trial is initiated before January 1, 2010, the device must be determined as intended for use in the diagnosis, monitoring or treatment of an immediately life-threatening disease or condition. (3) Routine care services related to a non-experimental/ investigational (Category B) device defined in Sec. 405.201(b) that is furnished in conjunction with an FDA-approved clinical trial. [60 FR 48423, Sept. 19, 1995, as amended at 69 FR 66420, Nov. 15, 2004]