Will Medicare pay for diagnostic tests for H1N1 flu (e.g., nasal swabs) for beneficiaries?
Under Part B, Medicare will cover diagnostic tests as set forth in 42 CFR 410.32 and other existing policies. Note, however, that the Social Security Act excludes payment for any item or service that was provided free of charge or if neither the beneficiary nor any other person is obligated to pay for such item or service, or if another Federal entity is obligated – directly or indirectly – to pay for such item or service.
Last Reviewed: 11/02/2009
Related Questions:
- Will Medicare fee-for-service pay for the administration of the H1N1 vaccine furnished during a hospital inpatient stay?
- Will Medicare payment policy change if the H1N1 vaccine is released under an emergency utilization authorization (EUA) under section 564 of the Food, Drug and Cosmetic Act?
- How should hospitals handle Medicare billing for services that involve the use of the Strategic National Stockpile (SNS) provided drugs?








