Pass-Through Payment Status and New Technology Ambulatory Payment Classification (APC)
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 for:
- OPPS Device Pass-Through
- OPPS Drug and Biological Pass-Through; or
- OPPS New Technology APC
Only applications submitted through MEARISTM will be accepted.
The instructions for billing for devices eligible for transitional pass-through payments and items classified in “new technology” APCs can be found in 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.
Downloads
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New Technology APC Application Decision Tracker - Updated 02/01/2024 (PDF) -
To Apply for New Device Categories For Transitional Pass-Through Payment Status Under the Hospital Outpatient Prospective Payment System (Updated 02/01/2022) (PDF) -
For a New Technology Ambulatory Payment Classification (APC) Designation Under the Hospital Outpatient Prospective Payment System (OPPS) - Updated 07/30/2021 (PDF) -
To Determine Eligibility of Drugs and Biologicals for Transitional Pass-Through Payment Under the Hospital Outpatient Prospective Payment System (Updated 11/02/2022) (PDF)
Page Last Modified:
09/10/2024 06:21 PM