Billing for Devices Eligible for Transitional Pass-Through

60 - Billing for Devices Eligible for Transitional Pass-Through Payments and Items Classified in “New Technology” APCs (Rev. 3425, Issued: 12-18-15, Effective: 01-01-16, Implementation: 01-04-16) The list of devices eligible for transitional pass-through payments changes as new device categories are approved for pass-through payment status on an ongoing basis, and as device categories expire from transitional pass-through payment and their costs are included in APC rates for associated surgical procedures. To view or download the latest complete list of currently payable and previously payable pass-through device categories, refer to https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/HospitalOutpatientPPS/passthrough_payment.html Please note that this link may change depending on CMS Web design requirements. Hospitals are required to report device category codes that have expired from pass- through payment on claims when such devices are used in conjunction with procedures billed and paid for under the OPPS. In a Federal Register notice dated November 15, 2004 we summarized several provisions (69 FR 65762) related to the required reporting of HCPCS codes for devices. The most recent information concerning applications requesting CMS to establish coding and payment and eligibility requirements for additional (new) device categories for pass- through payment is located on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/HospitalOutpatientPPS/passthrough_payment.html. This Web link may change from time to time, depending on CMS Web design requirements.