OMB control number
Recognition of Pass-Through Payment for Additional (New) Categories of Devices Under the Outpatient Prospective Payment System and Supporting Regulations (CMS-10052)
OMB 0938-0857 · HHS/CMS.
OMB 0938-0857
Information is necessary to determine eligibility of medical devices for establishment of additional device categories for payment under transitional pass-through payment provisions as required by section 1833(t)(6) of the Social Security Act.
The latest form for Recognition of Pass-Through Payment for Additional (New) Categories of Devices Under the Outpatient Prospective Payment System and Supporting Regulations (CMS-10052) expires 2026-04-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Supporting Statement A |
Supplementary Document |
CMS 10052 Supporting Statement.docx
Device Pass-through Web Application Crosswalk_All Updates.pdf
Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations (CMS-10052) All Historical Document Collections
| Revision of a currently approved collection | 2025-11-26 | ||
|
Approved with change |
Extension without change of a currently approved collection | 2022-07-18 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-06-22 | |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2019-08-13 | |
|
Approved without change |
Revision of a currently approved collection | 2013-12-23 | |
|
Approved without change |
Extension without change of a currently approved collection | 2011-01-25 | |
|
Approved without change |
Extension without change of a currently approved collection | 2007-11-19 | |
|
Approved without change |
Extension without change of a currently approved collection | 2004-11-23 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2001-11-21 |