“Incident to” Billing

February 26, 2019


Craig Wilson, JD, MPA
Director, Health Policy


“Incident to” billing is a practice that allows non-physician providers to bill for services as “incident to” physician services — or “as if” the physician provided the service — using a physician’s unique identification number. By utilizing this practice, non-physician providers can collect higher reimbursement rates. While “incident to” billing is specific to Medicare, other commercial payers have adopted similar policies. This explainer provides an overview of “incident to” billing and current policy considerations around its use.