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

OPPS Pass-through and New Technology Ambulatory Payment Classification (APC) Assignment Under the Hospital Outpatient Prospective Payment System (OPPS)

Applications for OPPS Pass-through and New Technology Ambulatory Payment Classification (APC) Assignment Under the Hospital Outpatient Prospective Payment System (OPPS) are now being accepted in the new electronic application intake system, Medicare Electronic Application Request Information SystemTM (MEARISTM). Please submit your application package through the appropriate module:

Device Pass-through, Drug and Biological Pass-through, or New Technology Ambulatory Payment Classification.
 

** Go to https://mearis.cms.gov to register/log in, and submit your application.**

We request that applicants start using the appropriate MEARISTM application for application submissions. Please see applications instructions below for additional details.

  • OPPS Device Pass-Through applications are required to be submitted through MEARISTM beginning on March 2, 2022.
  • OPPS Drug and Biological Pass-Through applications may be submitted with the previous electronic format no later than May 31, 2022.
  • OPPS New Technology APC applications may be submitted with the previous electronic format no later than August 31, 2022.
Effective January 1, 2022, the complete list of pass-through payment device category codes can be found in the CMS Internet Only Manual (IOM), Chapter 4, Section 60.4 of the Medicare Claim Processing Manual (PDF).

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.

Page Last Modified:
03/15/2022 10:02 AM