[Federal Register Volume 90, Number 87 (Wednesday, May 7, 2025)]
[Notices]
[Pages 19303-19304]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-07943]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1836-N]


Medicare Program; Public Meeting for New Revisions to the 
Healthcare Common Procedure Coding System (HCPCS) Coding

AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of 
Health and Human Services (HHS).

ACTION: Notice.

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SUMMARY: This notice announces the first Healthcare Common Procedure 
Coding System (HCPCS) public meeting of 2025 to discuss the Centers for 
Medicare & Medicaid Services preliminary coding, Medicare benefit 
category, and Medicare payment determinations, if applicable, for new 
revisions to the HCPCS Level II code set for non-drug and non-
biological items and services, as well as how to register for the 
meeting.

DATES: 
    Primary date: Monday, June 2, 2025, 9 a.m. to 5 p.m. Eastern Time 
(ET).
    Overflow date: Tuesday, June 3, 2025, 9 a.m. to 5 p.m. ET (virtual 
only).

ADDRESSES:  The HCPCS Level II public meeting will be a hybrid event 
held:
     In-person: The Centers for Medicare and Medicaid Services 
(CMS), 7500 Security Boulevard, Baltimore, MD 21244.
     Virtual: Live stream via Zoom (link will be posted on the 
HCPCS Level II website).

FOR FURTHER INFORMATION CONTACT: Sundus Ashar, (410) 786-0750, 
[email protected], or [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    On December 21, 2000, Congress enacted the Medicare, Medicaid, and 
State Children's Health Insurance Program (SCHIP) Benefits Improvement 
and Protection Act of 2000 (BIPA) (Pub. L. 106-554). Section 531(b) of 
BIPA mandated that the Secretary establish procedures that permit 
public consultation for coding and payment determinations for new 
durable medical equipment (DME) under Medicare Part B of title XVIII of 
the Social Security Act (the Act). In the November 23, 2001 Federal 
Register (66 FR 58743), we published a notice providing information 
regarding the establishment of the annual public meeting process for 
DME.
    In 2020, we implemented changes to our HCPCS Level II coding 
procedures, including the establishment of quarterly coding cycles for 
drugs and biological products and biannual coding cycles for non-drug 
and non-biological items and services.
    In the December 28, 2021 Federal Register (86 FR 73860), we 
published a final rule that established procedures for making Medicare 
benefit category and payment determinations for new items and services 
that are DME, prosthetic devices, orthotics and prosthetics, 
therapeutic shoes and inserts, surgical dressings, or splints, casts, 
and other devices used for reductions of fractures and dislocations 
under Medicare Part B.

II. Public Meeting Agendas

    The list of topics for discussion, which will become available in 
the upcoming weeks at https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings, identify the Centers for Medicare 
& Medicaid Services (CMS) preliminary coding, Medicare benefit 
category, and Medicare payment determinations, if applicable. In 
establishing the public meeting agendas, CMS may group multiple, 
related code applications under the same agenda item. While both days 
will have virtual access via Zoom, the public meeting agenda order will 
be based on prioritizing speakers who attend in person first, followed 
by agenda items whose speakers are all attending virtually. While the 
list of topics will already be made available, the public meeting 
agenda order will become available on the CMS website sometime shortly 
after the speaker registration deadline. We will only be discussing 
those topics listed on the CMS website.

Overflow Procedures

    If all of the agenda items are not addressed on June 2, 2025, CMS 
will hold a virtual-only session on June 3, 2025 at 9 a.m. ET. We will 
proceed in the order of the HCPCS public meeting agenda, only 
discussing those that were not addressed, until complete. We will not 
go back and discuss any prior agenda items. Original registration will 
apply to the overflow date. The link to the live stream of the public 
meeting will be posted in the Guidelines for Participation in HCPCS 
Public Meetings document on the CMS website.

III. Participation Categories

    Every speaker must declare at the beginning of their presentation 
during the meeting, as well as in their written summary, whether they 
have any financial involvement with the applicant and manufacturer, if 
different, of the item that is the subject of the HCPCS Level II 
application, or with any competitors of that manufacturer with respect 
to the item. This includes any payment, salary, remuneration, or 
benefit provided to the speaker by the applicant, manufacturer, or any 
such competitors.

A. Primary Speakers

    Each applicant that submitted a HCPCS Level II code application 
that will be discussed at the public meeting is permitted to designate 
a primary speaker. Fifteen minutes is the total time interval for a 
primary speaker per agenda item. Any unused time from the primary 
speaker will be forfeited and cannot be delegated to another speaker. 
Primary speakers must register as a speaker and submit any supporting 
PowerPoint presentation by the stated deadline. CMS will accept 
PowerPoint presentations (maximum of 10 slides in PowerPoint 
presentation format, not PDF) that are emailed to [email protected] by 
the stated deadline. We will not play videos, transitions, or 
animations during the public meeting session and request the speakers 
exclude these materials from their PowerPoint presentation and instead 
submit any relevant video or animation materials along with the written 
comments. We request that speakers ensure the presentation does not 
include any inappropriate or confidential content before submission. 
Due to the timeframe needed for the

[[Page 19304]]

planning and coordination of the HCPCS public meetings, materials that 
are not submitted appropriately and in accordance with this deadline 
cannot be accommodated.

B. 5-Minute Speakers

    Any individual related to the public meeting agenda item, including 
but not limited to an employee, competitor, insurer, public consumer, 
or other interested party, may register as a 5 minute speaker by the 
stated deadline. Depending on the availability of time, CMS may limit 
the number of 5-minute speakers; however, we will ensure an array of 
interested parties are represented if registered by the stated 
deadline. We will not accept any other written materials, outside of 
the written comments, from a 5-minute speaker (that is, 5-minutes 
speakers are not allowed to present a PowerPoint presentation).

C. All Other Attendees

    All individuals who plan to attend the public meetings to listen 
and do not plan to speak may access the public meeting using the live 
stream link posted on the HCPCS Level II website. Alternatively, 
attendees can register online by the stated deadline and attend the 
public meeting in-person at CMS.
    Individuals who require special assistance must register and 
request special assistance services by the stated deadline in the FOR 
FURTHER INFORMATION CONTACT section of this notice.

IV. Registration Requirements

    The registration instructions for the HCPCS public meeting will be 
posted in the Guidelines for Participation in HCPCS Public Meetings 
document on the CMS website. All individuals who plan to speak (15 or 5 
minutes) at the public meeting or attend the meeting in person must 
register by 5 p.m. ET on May 14, 2025. The following information must 
be provided when registering by the stated deadline:
     Name;
     Company name (if applicable);
     Email address;
     Topic item and application number (for speakers only);
     Whether the registrant will be attending in person or 
virtually;
     Whether the registrant is a foreign national (for in-
person attendees only);
     Any special assistance requests;
     Whether the registrant is a primary speaker or a 5-minute 
speaker for an agenda item; and
     Whether the primary speaker will use a PowerPoint 
presentation.

V. In-Person Information

    All in-person attendees should monitor the website at https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings for 
additional information about accessing the building, as information is 
subject to change. Only registered attendees with a valid government-
issued photo ID that meets the Real ID standards may enter the 
building. For reference, visit https://www.dhs.gov/real-id. All foreign 
national attendees must identify themselves at the time of 
registration, as additional documentation may be required.
    Vehicle screening is conducted and all persons in the vehicle must 
present a valid ID. Visitors may only enter from Security Boulevard, 
using the far-right entrance lane to the campus. Parking on campus is 
increasingly limited and visitors are not guaranteed a parking space 
with registration. Visitors are encouraged to consider alternate means 
of arrival, such as public transportation, taxi, or other ride-share 
arrangements. Visitors will be required to go through x-ray screening 
similar to screening at a United States airport, or alternate 
arrangements as instructed and permitted by security. A cafeteria is 
available at CMS.

VI. Written Comments

    The primary and 5-minute speaker(s) must email a brief, written 
summary (one paragraph) of their comments and conclusions. Written 
comments from anyone, including the primary and 5-minute speaker(s), 
will only be accepted when emailed to: [email protected] before 5 p.m. 
ET on June 4, 2025.

VII. Additional Information

    All participants should regularly check the CMS website for updates 
and final agenda information at https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.
    The HCPCS section of the CMS website also includes details 
regarding the public meeting process for new revisions to the HCPCS 
Level II code set, including guidelines for an effective presentation. 
The HCPCS section of the CMS website also contains a document titled 
``HCPCS Level II Coding Procedures (PDF),'' which is a description of 
the HCPCS Level II coding process, including a detailed explanation of 
the procedures CMS uses to make HCPCS Level II coding determinations.
    When CMS refers to a HCPCS code or HCPCS Level II coding 
application above, CMS may also be referring to circumstances when a 
HCPCS code has already been issued, but a Medicare benefit category 
and/or payment has not been determined. CMS is working diligently to 
address Medicare benefit category and payment determinations for new 
items and services that may be DME, prosthetic devices, orthotics and 
prosthetics, therapeutic shoes and inserts, surgical dressings, or 
splints, casts, and other devices used for reductions of fractures and 
dislocations under Medicare Part B.
    This hybrid format ensures maximum accessibility while maintaining 
the integrity of the HCPCS public meeting process. However, we are 
exploring the possibility of moving towards in-person only public 
meetings in the future.

VIII. Collection of Information Requirements

    This document does not impose information collection requirements, 
that is, reporting, recordkeeping, or third-party disclosure 
requirements. Consequently, there is no need for review by the Office 
of Management and Budget under the authority of the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501 et seq.).

Signing Authority

    The Administrator of the Centers for Medicare & Medicaid Services 
(CMS), Mehmet Oz, having reviewed and approved this document, 
authorizes Chyana Woodyard, who is the Federal Register Liaison, to 
electronically sign this document for purposes of publication in the 
Federal Register.

Chyana Woodyard,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2025-07943 Filed 5-2-25; 4:15 pm]
BILLING CODE 4120-01-P