CMS Pub. 100-02, ch. 1, § 50

A3-3101.5, HO-210.5

Other diagnostic or therapeutic items or services ordinarily furnished inpatients by the

hospital or by others under arrangements made by the hospital are covered. This

category of covered services encompasses items and services not otherwise specifically

listed as covered inpatient hospital services. (See the Medicare Benefit Policy Manual,

Chapter 15, “Covered Medical and Other Health Services.”)

Such services to hospital inpatients may be covered under Part A even when furnished off

the hospital premises. For example, diagnostic or therapeutic services of an audiologist

off the hospital premises are covered if billed for by the hospital under arrangements (see

Pub 100-01, the Medicare General Information, Eligibility, and Entitlement Manual,

Chapter 5, §10.3, for further information concerning “under arrangements”), if the

services are furnished at a speech and hearing center, and if the audiologist meets the

qualifications for an audiologist:

• Is licensed if applicable by the State in which practicing; and

• Is eligible for a certification of clinical competence in audiology granted by the

American Speech and Hearing Association; or

• Meets the education requirements for certification and is in the process of

accumulating the supervised experience required for certification.