Procedure Nominations

Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request (CMS-10809)

OMB: 0938-1458

IC ID: 261757

Documents and Forms

Document Name Document Type
Form CMS-10809 Procedure Nominations Form and Instruction
CMS-10809 ASC CPL Pre-Proposed Rule Recommendation Request ASC CPL Pre-Proposed Rule Recommendation Request.pdf Form and Instruction
CMS-10809 MEARIS Screenshots MEARIS Screenshots.pdf Form and Instruction