MAC Implementation File 8 - FY 2027 New Technology Add-on Payment (NTAP) - Technologies Beginning to Receive NTAP in FY 2027			
Technology	Maximum Add-on Payment	ICD-10-CM/PCS Codes Used to Identify Cases Eligible for NTAP	Alternative Pathways Status
Bayesian Health Sepsis Flagging Device	$61.84	XEZZXJC	Breakthrough Device
BriefCase-Triage: CARE (Clinical AI Reasoning Engine) Multi-Triage CT Body	$137.53	XEZ5XKC 	Breakthrough Device
Ceribell Delirium Monitor System	"$2,171.00"	"XX20X89 without any of following: G40.001, G40.011, G40.101, G40.111, G40.201, G40.211, G40.301, G40.311, G40.401, G40.411, G40.501, G40.801, G40.803, G40.811, G40.813, G40.821, G40.823, G40.833, G40.841, G40.843, G40.901, G40.911, G40.A01, G40.A11, G40.B01, G40.B11, G40.C01, or G40.C11"	Breakthrough Device
CMORE CT System (posterior cervico-thoracic system)	"$60,905.00"	"XRH10NC, XRH13NC, XRH14NC, XRH20NC, XRH23NC, XRH24NC, XRH40NC, XRH43NC, XRH44NC, XRH60NC, XRH63NC, or XRH64NC in combination with: any of the codes listed in the additional sheet for the CMORE CT System"	Breakthrough Device
GORE VIABAHN FORTEGRA Venous Stent	"$7,186.40"	X2723CB 	Breakthrough Device
Infuse Bone Graft	"$4,396.60"	"XW0U0CC in combination with any of the following: 0SG00AJ, 0SG03AJ, 0SG04AJ, 0SG10AJ, 0SG13AJ, 0SG14AJ, 0SG30AJ, 0SG33AJ, or 0SG34AJ"	Breakthrough Device
InVision Precision Cardiac Amyloid	"$2,275.00"	XEZZXLC 	Breakthrough Device
Nelli Seizure Monitoring System	$975.00	XXE0X48 	Breakthrough Device
NEXUS Aortic Arch Stent Graft System	"$35,880.00"	X2VJ3HC or X2VJ3HC in combination with X2VW3JC	Breakthrough Device
OmniaSecure MRI SureScan Lead Model 3930M	"$7,796.75"	X2HV3GB 	Breakthrough Device
PearlMatrix P-15 Peptide Enhanced Bone Graft	"$3,380.00"	"XW0U0XB, XW0U3XB, or XW0U4XB in combination with any of the following: 0SG00AJ, 0SG03AJ, 0SG04AJ, 0SG30AJ, 0SG33AJ, or 0SG34AJ"	Breakthrough Device
SAPIEN M3 Transcatheter Mitral Valve Replacement System	"$35,100.00"	X2RG3FC 	Breakthrough Device
SetPoint System	"$38,675.00"	X0HQ05C 	Breakthrough Device
Spur Peripheral Retrievable Stent System	"$2,596.75"	"X2HP38B, X2HQ38B, X2HR38B, X2HS38B, X2HT38B, or X2HU38B"	Breakthrough Device
Trilogy Transcatheter Aortic Valve Regurgitation System	"$25,675.00"	X2RF3LC 	Breakthrough Device
ViaOne Epicardial Access System	"$1,300.00"	XEZD3QC 	Breakthrough Device
GAMIFANT (emapalumab-lzsg)	"$672,756.50"	"XW033MA or XW043MA in combination with any of the following: M06.10, M08.211, M08.212, M08.221, M08.222, M08.231, M08.232, M08.241, M08.242, M08.251, M08.252, M08.261, M08.262, M08.271, M08.272, M08.28, M08.29, or M08.2A"	
YARTEMLEA (narsoplimab-wuug)	"$287,079.00"	XW03357 or XW04357	
ZEVASKYN (prademagene zamikeracel)	"$2,045,550.00"	"XHR0XGA, XHR1XGA, XHR2XGA, XHR3XGA, XHR4XGA, XHR5XGA, XHR6XGA, or XHR7XGA"	
