US · guidance
CMS Pub. 100-04, ch. 32, § 170.5
Advance Beneficiary Notice (ABN) and Hospital Issued Notice of Noncoverage
(HINN) Information
(Rev. 1340, Issued: 09-21-07, Effective: 08-14-07, Implementation: 10-01-07)
Providers must be advised that the provider is liable for charges if the lumbar artificial disc replacement is
used in the surgery, unless the beneficiary was informed that he/she would be financially responsible prior to
performance of the procedure. To avoid this liability the provider should have the beneficiary sign an ABN.
The HINN model language should be adapted to this situation in the sections addressing description of the
care at issue if the surgery is performed on an inpatient basis. Unless the beneficiary was informed prior to the
admission that he/ she would be financially liable for the admission, the provider is liable. To avoid this
liability the provider must issue a HINN. Other content requirements of a HINN still apply. Use the HINN
letter most appropriate to the overall situation.
History
(Rev. 1340, Issued: 09-21-07, Effective: 08-14-07, Implementation: 10-01-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6b566af00d91d06a119d6603e26b3e646462bcbb1228329569af426d1a943423
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