US · guidance
CMS Pub. 100-04, ch. 4, § 60.2
Roles of Hospitals, Manufacturers, and CMS for Billing for
Transitional Pass-Through Items
(Rev. 1336; Issued: 09-14-07; Effective/Implementation Dates: 10-01-07)
In general, hospitals are ultimately responsible for the content of the bills they present to
Medicare. If hospitals have questions about appropriate coding that they cannot resolve
on their own, the appropriate first step would be to review the HCPCS codes and/or the
regulation governing payment for the year of service. CMS does not have to have
qualified a particular device for transitional pass-through payment before a hospital can
bill for the device. Hospitals are expected to make appropriate coding decisions based on
these instructions and other information available to them.
Many device manufacturers routinely provide hospital customers with information about
appropriate coding of their devices. This may be helpful but does not supersede Federal
requirements.
History
(Rev. 1336; Issued: 09-14-07; Effective/Implementation Dates: 10-01-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a325c73b6dd407e8b1122b600baad04ce1cb2f62c2471d62cd65d367822fafca
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