Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process

Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process

OMB: 0938-1042

IC ID: 183056

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process
 
No Modified
 
Voluntary
 
42 CFR 414.40 45 CFR 162.10002

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10224 Healthcare Common Procedure Coding System (HCPCS) Level II Code Set (2012) CMS-10224 2012 HCPCS Update Application-8-17-10.doc Yes No Fillable Printable
Form and Instruction CMS-10224 Healthcare Common Procedure Coding System (HCPCS) Level II Code Set Form (2013) 2013 HCPCS Application.doc Yes No Fillable Printable

Health Health Care Services

 

300 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300 0 0 0 0 300
Annual IC Time Burden (Hours) 3,300 0 0 0 0 3,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10224 Crosswalk Crosswalk Document2010.docx 04/29/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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