Does Medicare pay pharmacists for hospital professional services?


Medicare and Medicaid reimbursement methodologies do not explicitly recognize or reimburse pharmacists for operational costs or professional services, despite the fact that these costs are significant. Under the current Medicare system, hospital-based pharmacists are not paid separately for providing patient-care services. Currently, hospitals may only bill Medicare for patient-care services provided incident-to a physician’s service.


CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.