Transitional Pass Through Payments for Designated Devices

50.3 - Transitional Pass Through Payments for Designated Devices (Rev. 3941; Issued: 12-22-17; Effective: 01- 01-18; Implementation: 01-02-18) Certain designated new devices are assigned to APCs and identified by the OCE as eligible for payment based on the reasonable cost of the new device reduced by the amount included in the APC for the procedure that reflects the packaged payment for devices used with the procedure. OCE will determine the proper payment amount for these APCs as well as the coinsurance and any applicable deductible. All related payment calculations will be returned on the same APC line and identified as a designated new device. Refer to https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/HospitalOutpatientPPS/passthrough_payment.html for the most current OPPS APC Offset File.