Hospital manual.

  • United States Social Security Administration
Date:
1967]
Catalogue details

Licence: Public Domain Mark

Credit: Hospital manual. Source: Wellcome Collection.

    46/130 page 34
    etc. “Immunization” for this purpose, however, does not include a vaccination or inoculation related to the treatment of a particular injury or direct exposure, e.g., antirabies treatment, tetanus antitoxin or booster vac- cine, botulin antitoxin, antivenin sera, or immune glob- ulin. When furnished under these circumstances to a hospital outpatient as an incident to a physician’s serv- ice, the vaccination or inoculation is covered under Part B. 2. Prosthetic devices (other than dental) which replace all or part of an internal body organ (includ- ing contiguous tissue) and replacements or repairs for such devices are covered. For example, dialysis equip- ment used in the treatment of renal failure is covered under Part B as a prosthetic device which replaces the function of a kidney. The term “internal body organ” includes the lens of an eye and all or part of an ear or nose. Prostheses replacing the lens of an eye include postsurgical lenses customarily used during conva- lescence from eye surgery in which the lens of the eye was removed. In addition, permanent lenses re- quired by an individual lacking the organic lens of the eye, whether by surgical removal or congenital ab- sence, are also covered. 3. Leg, arm, back, and neck braces, trusses, and artificial legs, arms and eyes.—These appli- ances are covered under Part B when furnished incident to physicians’ services or on a physician’s order. A brace includes rigid and semirigid devices which are used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. Back braces in- clude, but are not limited to, special corsets, sacroiliac, sacrolumbar, dorsolumbar corsets and belts. -A ter- minal device (e.g., hand or hook) is covered when an artificial arm is required by the patient. Purchase of the initial artificial limb or other ap- pliance, or replacement of it when worn out or unre- pairable is covered. The replacement of usable appli- ances or artificial limbs required because of a change in the patient’s physical condition is also covered when supplied on a physician’s order. Repairs to and adjust- ments of such appliances are also covered even when the appliance had been in use before the user enrolled in the supplementary medical insurance program. 240.3. Use of Durable Medical Equipment.— Durable medical equipment is equipment which can withstand repeated use and which generally does not have a value to the patient in the absence of an illness or injury. It includes such items as iron lungs, oxygen tents, oxygen regulators, intermittent positive pressure 34. breathing machines, hospital beds, wheelchairs, and other ambulation devices such as crutches and walk- ers. It must be for use in the patient’s home or in a place used as his home. In the rare situation where hospitals may furnish dur- able medical equipment to a beneficiary for use in his home, the use of the equipment would be an allowable hospital cost, e.g., depreciation, administrative costs involved, etc. Reimbursement cannot be made to a beneficiary for the purchase of durable medical equipment. When oxygen is essential for the effective use of the hospital’s durable medical equipment in the patient’s home, the oxygen and its container are covered. Oxy- gen used with equipment owned by the beneficiary is not covered. Oxygen and its container used inde- pendently of durable medical equipment is covered only as a medical supply, and therefore, only when furnished incident to a physician’s professional service. Medica- tions used with durable medical equipment are not covered. . 240.4 Ambulance Service.—Ambulance service is covered only under Part B. The cost of oxygen and its administration furnished in connection with and as part of the ambulance service is also covered. (See § 280 for the required certification for ambulance service. ) An ambulance is a specially designed or equipped automobile or other vehicle (in some areas of the United States this might be a boat or plane) for trans- porting the sick or injured. It must have customary patient care equipment including a stretcher, clean linens, first aid supplies, oxygen equipment, and any safety and lifesaving equipment required by State or local authorities. Personnel whose duties involve the care or handling of the patient while providing ambulance service must have adequate training in the application of first aid, i.e., training which is at least equivalent to the training provided by the standard and advanced Red Cross first aid courses. The driver does not have to meet the first aid training requirement if there is at least one other person assigned to the ambulance who has had the required training. Training “equivalent” to the stand- ard and advanced Red Cross first aid training courses includes ambulance service training and experience acquired in military service, successful completion by the individual of a comparable first aid course furn- ished by or under the sponsorship of State or local authorities, an educational institution, a fire depart- ment, a hospital, a professional organization, or other
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