Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process

Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process (CMS-10224)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1042 can be found here:

Document [docx]

Download: docx | pdf

HCPCS Application Intake Screenshots

Page 1

Page 2

Page 3

Page 4

Page 5

Page 6

Page 7

Page 8

Page 9

Page 10

Page 11

Page 12

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Naman Shah
File Modified	0000-00-00
File Created	2021-01-14