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
Nonsubstantive Change Request to CMS-10054.docx Justification for No Material/Nonsubstantive Change
PRA NewTech APC Crosswalk.pdf Supplementary Document
CMS-10054 - PRA Supporting Statement A - 2021 MEARIS Clean.docx Supporting Statement A
Recognition of payment for new technology services for ambulatory payment classification (APC) groups under the Outpatient Prospective Payment System and Supporting Regulations in 42 CFR, Part 419 Instruction

All Historical Document Collections

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