[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR416.200]

[Page 681-682]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 416--AMBULATORY SURGICAL SERVICES--Table of Contents
 
Subpart F--Adjustment in Payment Amounts for New Technology Intraocular 
             Lenses Furnished by Ambulatory Surgical Centers
 
Sec. 416.200  Application of the payment adjustment.

    (a) CMS recognizes the IOL(s) that define a new technology subset 
for purposes of this subpart as belonging to the class of new technology 
IOLs for a period of 5 years effective from the date that CMS recognizes 
the first new technology IOL for a payment adjustment.
    (b) Any IOL that CMS subsequently recognizes as belonging to a new 
technology subset receives the new technology payment adjustment for the 
remainder of the 5-year period established with CMS's recognition of the 
first IOL in the subset.
    (c) Beginning 5 years after the effective date of CMS's initial 
recognition of a new technology subset, payment adjustments cease for 
all IOLs that CMS designates as belonging to that subset and payment 
reverts to the standard payment rate set under section 
1833(i)(2)(A)(iii) of the Act for IOL insertion procedures performed in 
ASCs.
    (d) ASCs that furnish an IOL designated by CMS as belonging to the

[[Page 682]]

class of new technology IOLs must submit claims using specific billing 
codes to receive the new technology IOL payment adjustment.