Form CMS-10809 ASC CPL Pre-Proposed Rule Recommendation Request

ASC CPL Pre-Proposed Rule Recommendation Request
Application Id

Status

Saved on

2295

Expired

3/14/2023

Contact Info

Primary Contact
Testy McTesterson
Tester
Testco
(551) 234-5678
[email protected]
Consultant

Secondary Contact

Testy McTesterson
Tester
Testco
(551) 234-5678
[email protected]
Consultant

Applicant
Nathan Vercauteren
[email protected]

Coding Info

List the Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) code(s) for all procedures recommended
for addition or removal.

List of Codes (1)

HCPCS or CPT code: 99278
Code descriptor for the procedure (optional): Applicant did not enter any information for
the optional field
Are you proposing to add or remove a code from the ASC CPL? Add
Does the code meet all the current ASC CPL? Yes
Has this code previously been on the ASC CPL? Yes

Attachments

Do you have any supporting documentation or information?
No

Updates and Revisions

PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is (pending) (Expires: ). This is a required information collection. The
time required to complete this information collection is estimated to average (pending) per response, including the time to review instructions,
search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the
accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports
Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
CMS Disclosure
Please do not send applications, claims, payments, medical records or any documents containing sensitive information to the PRA Reports
Clearance Office. Please note that any correspondence not pertaining to the information collection burden approved under the associated OMB
control number listed on this form will not be reviewed, forwarded, or retained. If you have questions or concerns regarding where to submit your
documents, please contact the CMS point of contact for this module using the form available at the bottom of the MEARIS™ Ambulatory Surgical
Center (ASC) Covered Procedures List (CPL) Nomination resources page.