New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054)

OMB 0938-0860

Information is necessary to determine services eligible for payment in new technology ambulatory payment classifications (APCs) in the outpatient prospective payment system.

The latest form for New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054) expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10054 Recognition of payment for new technology services for ambulatory payment classification (APC) groups under the Outpatient Prospective Payment System (CMS- 10054) Form
CMS-10054 - PRA Supporting Statement A_ 2024 Clean Version.docx Supporting Statement A
Recognition of payment for new technology services for ambulatory payment classification (APC) groups under the Outpatient Prospective Payment System (CMS- 10054) Form

All Historical Document Collections

202407-0938-015	Extension without change of a currently approved collection	2024-07-26
202112-0938-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-12-15
202105-0938-006 Approved without change	Extension without change of a currently approved collection	2021-05-14
201802-0938-001 Approved with change	Reinstatement without change of a previously approved collection	2018-02-13
201404-0938-011 Approved without change	Extension without change of a currently approved collection	2014-04-30
201103-0938-004 Approved without change	Extension without change of a currently approved collection	2011-03-06
200712-0938-007 Approved without change	Extension without change of a currently approved collection	2007-12-20
200502-0938-004 Approved without change	Extension without change of a currently approved collection	2005-02-07
200201-0938-006 Approved without change	New collection (Request for a new OMB Control Number)	2002-01-10