On August 14, 1995, we published a final rule with comment period (60 FR 41914) incorporating into regulations the physician self-referral prohibition as it applied to clinical laboratory services.

On January 9, 1998, we published a proposed rule (63 FR 1659) that would revise the regulations to cover the additional designated health services and the Medicaid expansion.  We finalized the proposed rule in three phases.  On January 4, 2001, we issued the "Phase I" final rule with comment period (66 FR 856), on March 26, 2004, we issued the "Phase II" interim final rule with comment period (69 FR 16054) and, on September 5, 2007, we issued the "Phase III" final rule (72 FR 51012).  To view the proposed and final rules, refer to the "Downloads" section below.

We also have published other proposed and final rules that affect physician self-referral.  Examples include: the proposed and final rules to include nuclear medicine within existing designated health categories and a proposal related to electronic prescribing technology and electronic health records technology.  For more information, refer to "Regulations-Other" on the navigation tool on the left side of this page.

Additionally, we publish an updated "List of codes" annually in the Federal Register.  The "List of codes" is the list of HCPCS and CPT codes for four of the designated health services to which the physician self-referral prohibition applies.  The "List of codes" is published as an addendum to the annual final rule concerning physician fee schedule payment policies.  That rule is usually published in November of each year.  For more information, refer to the "List of Codes" on the navigation tool on the left side of this page and to the "Related Links" below.

Downloads
Proposed rule, January 9, 1998 (63 FR 1659) [PDF, 288KB] Phase I, January 4, 2001 (66 FR 856) [PDF, 676KB] Phase II, March 26, 2004 (69 FR 16054), [PDF, 524KB]
Related Links Inside CMS
Physician Fee Schedule
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 04/15/2008 7:02:38 AM
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