CMS Pub. 100-02, ch. 16, § 80

A3-3156, HO-260.6, B3-2318

Items that do not contribute meaningfully to the treatment of an illness or injury or the

functioning of a malformed body member are not covered.

Charges for special items requested by the patient such as radio, television, telephone,

and air conditioner, and beauty and barber services are excluded from coverage. The

patient may be charged for such a service if they requested it with knowledge that they

will be charged. To avoid misunderstanding and disputes, the provider informs the

individual upon request for such an item or service that there is a specified charge (not

exceeding the customary charge). Thereafter, the provider may not charge the patient

more for the item or service than the charge specified. A provider may not require a

beneficiary to request noncovered items or services as a condition of admission or of

continued stay.

Basic personal services such as simple barber and beautician services (e.g., shaves,

haircuts, shampoos, and simple hair sets) which patients need and cannot perform for

themselves may be viewed as ordinary patient care when furnished by a long-stay

institution. Such services are covered costs reimbursable under Part A when included in

the flat rate charge and provided routinely without charge to the patient by an SNF or by

a general psychiatric or tuberculosis hospital. The services are maintenance of at least a

minimum level of personal hygiene, decency, and presentability items essential to the

well-being of the patient and of other patients who must associate with the patient.

However, under the personal comfort exclusion, more elaborate services, such as

professional manicures, hair styling, etc., are excluded even when furnished routinely and

without special charge.