Fed Regist. 1994 Sep 30;59(189):49826-34.
This final rule revises interim final regulations on Medicare coverage of screening mammography that were published in the Federal Register on December 31, 1990 (55 FR 53510). Those regulations implemented section 4163 of the Omnibus Budget Reconciliation Act of 1990, setting forth payment limitations and conditions for coverage of screening mammography. The conditions consist of quality standards to ensure the safety and accuracy of screening mammography services performed by qualified physicians and other suppliers of these services. As a result of the implementation of the Mammography Quality Standards Act of 1992 (MQSA) by the Food and Drug Administration (FDA), we are conforming the conditions for coverage to the applicable FDA certification requirements that all Medicare suppliers of services must meet effective October 1, 1994. The revisions in this final rule also respond to certain comments we received on the interim final rule published on December 31, 1990; they provide clarification of certain of its provisions; and they establish conditions for coverage of diagnostic mammography that are similar to those we have established for screening mammography. In addition, this final rule reflects changes resulting from the final rule on the fee schedule for physicians' services, which was published in the Federal Register on December 2, 1993 (58 FR 63626).
本最终规则修订了1990年12月31日在《联邦公报》（55 FR 53510）上发布的关于医疗保险对乳腺X线筛查覆盖范围的暂行最终规定。这些规定实施了1990年《综合预算协调法案》第4163条，规定了乳腺X线筛查覆盖范围的支付限制和条件。这些条件包括质量标准，以确保由合格医生和这些服务的其他供应商提供的乳腺X线筛查服务的安全性和准确性。由于食品药品监督管理局（FDA）实施了1992年《乳腺X线摄影质量标准法案》（MQSA），我们正在使覆盖条件符合所有医疗保险服务供应商自1994年10月1日起必须满足的适用FDA认证要求。本最终规则中的修订还回应了我们收到的关于1990年12月31日发布的暂行最终规则的某些意见；它们对其某些条款进行了澄清；并且它们为诊断性乳腺X线摄影的覆盖范围设定了与我们为乳腺X线筛查设定的条件类似的条件。此外，本最终规则反映了关于医生服务收费表的最终规则所带来的变化，该规则于1993年12月2日在《联邦公报》上发布（58 FR 63626）。
