Information Collection Request
HCPCS Modification to Code Set Form (CMS-10224)
ICR 202304-0938-007 · OMB 0938-1042 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1042 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10224 Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process |
Form and Instruction | Modified | Repair queued |
 CMS-10224 Supporting Statement Part A.docx |
Supporting Statement A | Uploaded 2023-04-12 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 183056 |  Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1042 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202103-0938-009 |
| Agency Tracking No | CM-FFS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |