US · guidance
CMS Pub. 100-02, ch. 16, § 20
Services Not Reasonable and Necessary
A3-3151, HO-260.1, B3-2303, AB-00-52 - 6/00
Items and services which are not reasonable and necessary for the diagnosis or treatment
of illness or injury or to improve the functioning of a malformed body member are not
covered, e.g., payment cannot be made for the rental of a special hospital bed to be used
by the patient in their home unless it was a reasonable and necessary part of the patient’s
treatment. See also §80.
A health care item or service for the purpose of causing, or assisting to cause, the death of
any individual (assisted suicide) is not covered. This prohibition does not apply to the
provision of an item or service for the purpose of alleviating pain or discomfort, even if
such use may increase the risk of death, so long as the item or service is not furnished for
the specific purpose of causing death.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
8b6f6002224788630922ccefe625d98aec48742aebf0cfcbae6e26a46e34a84f
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