OMB control number
New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054)
OMB 0938-0860 · HHS/CMS.
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 2027-10-31 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form |
Supporting Statement A |
Form CMS-10054 Recognition of payment for new technology services for ambulatory payment classification (APC) groups under the Outpatient Prospective Payment System (CMS- 10054)
CMS-10054 - PRA Supporting Statement A_ 2024 Clean Version.docx
Recognition of payment for new technology services for ambulatory payment classification (APC) groups under the Outpatient Prospective Payment System (CMS- 10054) All Historical Document Collections
| Extension without change of a currently approved collection | 2024-07-26 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-12-15 | |
|
Approved without change |
Extension without change of a currently approved collection | 2021-05-14 | |
|
Approved with change |
Reinstatement without change of a previously approved collection | 2018-02-13 | |
|
Approved without change |
Extension without change of a currently approved collection | 2014-04-30 | |
|
Approved without change |
Extension without change of a currently approved collection | 2011-03-06 | |
|
Approved without change |
Extension without change of a currently approved collection | 2007-12-20 | |
|
Approved without change |
Extension without change of a currently approved collection | 2005-02-07 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2002-01-10 |