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Pass-Through Payment Status and New Technology Ambulatory Payment Classification (APC)

This page contains the process and information required to apply for transitional pass-through payment status for drugs and biologicals, or for assignment and payment for new pass-through device categories.

 

Downloads
2009 OPPS Offset Amounts by APC [ZIP, 36KB] – CY2009 Portion of APC Payment Amounts Associated with the Cost of Devices and Drugs for Determination and Implementation of Pass-Through Payment.

List of Pass Through Payment Device Category Codes - Updated: November 2008 [PDF, 107KB]

Process and Information Required:
For a New Technology Ambulatory Payment Classification (APC) Designation Under the Hospital Outpatient Prospective Payment System (OPPS) [PDF, 162KB]

To Apply for New Device Categories For Transitional Pass-Through Payment Status Under the Hospital Outpatient Prospective Payment System - Updated January 2007 [PDF, 72KB]

To Determine Eligibility of Drugs and Biologicals for Transitional Pass-Through Payment Under the Hospital Outpatient Prospective Payment System [PDF, 83KB] - Updated 4/17/09

Related Links Inside CMS

For information on original pass-through devices, see Prospective Payment System for Hospital Outpatient Services: Criteria for Establishing Additional Pass-Through Categories for Medical Devices (Published at Federal Register: 8/24/2001)

Related Links Outside CMS

There are no Related Links Outside CMS

 

Page Last Modified: 04/17/2009 6:52:07 AM
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