HCPCS Modification to Code Set Form (CMS-10224)

Healthcare Common Procedure Coding System (HCPCS) Level II Code Modification Application Form (CMS-10224) to allow CMS to collect HCPCS Level II Code Modification requests in an electronic application intake system on the CMS-10224 form. All information is received and distributed to CMS' HCPCS workgroup and is reviewed and discussed at monthly workgroup meetings. In turn, CMS' HCPCS workgroup reaches a decision as to whether a change should be made to codes in the HCPCS code set. The respondent who submits the application form can be anyone who has an interest in obtaining a code or modifying an exiting code. However, respondents are usually manufacturers of products, or consultants on behalf of the manufacturer. Applicants will be able to access the HCPCS Level II application, via the Medicare Electronic Application Request Information SystemTM (MEARISTM), on a designated website through CMS.gov. The electronic version of the HCPCS Level II application will be the same as the paper version except for a few minor non-substantive changes as described in question one above and in our crosswalk document. This secure online application maintained by CMS enables applicants to submit their responses to our application questions directly to CMS as opposed to downloading the application from CMS.gov, completing the application, and attaching the completed application and sending via email.

The latest form for HCPCS Modification to Code Set Form (CMS-10224) expires 2026-07-31 and can be found here.