# 42 CFR § 410.1: Basis and scope

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-410.1

## Section

- **Citation:** 42 CFR § 410.1
- **Heading:** Basis and scope
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM > PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS > Subpart A—General Provisions

## Text

(a) Statutory basis. This part is based on the indicated provisions of the following sections of the Act:
(1) Section 1832—Scope of benefits furnished under the Medicare Part B supplementary medical insurance (SMI) program.
(2) Section 1833 through 1835 and 1862—Amounts of payment for SMI services, the conditions for payment, and the exclusions from coverage.
(3) Section 1861(qq)—Definition of the kinds of services that may be covered.
(4) Section 1865(b)—Permission for CMS to approve and recognize a national accreditation organization for the purpose of deeming entities accredited by the organization to meet program requirements.
(5) Section 1881—Medicare coverage for end-stage renal disease beneficiaries.
(6) Section 1842(o)—Payment for drugs and biologicals not paid on a cost or prospective payment basis.
(b) Scope of part. This part sets forth the benefits available under Medicare Part B, the conditions for payment and the limitations on services, the percentage of incurred expenses that Medicare Part B pays, and the deductible and copayment amounts for which the beneficiary is responsible. (Exclusions applicable to these services are set forth in subpart C of part 405 of this chapter. General conditions for Medicare payment are set forth in part 424 of this chapter.)
[51 FR 41339, Nov. 14, 1986, as amended at 53 FR 6648, Mar. 2, 1988; 55 FR 53521, Dec. 31, 1990; 59 FR 63462, Dec. 8, 1994; 63 FR 58905, Nov. 2, 1998; 65 FR 83148, Dec. 29, 2000; 69 FR 66420, Nov. 15, 2004]

## Nearby sections

- [42 CFR § 410.1 § 410.1 Basis and scope.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.1.md)
- [42 CFR § 410.2 § 410.2 Definitions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.2.md)
- [42 CFR § 410.3 § 410.3 Scope of benefits.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.3.md)
- [42 CFR § 410.5 § 410.5 Other applicable rules.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.5.md)
- [42 CFR § 410.10 § 410.10 Medical and other health services: Included services.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.10.md)
- [42 CFR § 410.12 § 410.12 Medical and other health services: Basic conditions and limitations.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.12.md)
- [42 CFR § 410.14 § 410.14 Special requirements for services furnished outside the United States.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.14.md)
- [42 CFR § 410.15 § 410.15 Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.15.md)
- [42 CFR § 410.16 § 410.16 Initial preventive physical examination: Conditions for and limitations on coverage.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.16.md)
- [42 CFR § 410.17 § 410.17 Cardiovascular disease screening tests.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.17.md)
- [42 CFR § 410.18 § 410.18 Diabetes screening tests.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.18.md)
- [42 CFR § 410.19 § 410.19 Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.19.md)
- [42 CFR § 410.20 § 410.20 Physicians' services.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.20.md)
- [42 CFR § 410.21 § 410.21 Limitations on services of a chiropractor.](https://www.frixlaw.com/law-library/statutes/ecfr-42-410.21.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-410.1. Check the current official text before relying on it. Not legal advice.