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CMS Proposes Extra Payments On CustomFlex Iris, Single-Use Duodenoscope, Heart Device

Medicare agency discusses unique nature of devices in outpatient payment system proposed rule

 
• By Sue Darcey

The Centers for Medicare and Medicaid Services highlighted three FDA breakthrough devices it is proposing for additional pass-through payments in its 2021 outpatient pay rule.

Eye
An artificial iris is one of the technologies proposed by CMS for pass-through payments

The Centers for Medicare and Medicaid Services (CMS) wants to give additional pass-through payments to a few novel devices: an artificial iris, a single-use duodenoscope, and a brain stimulation product to treat heart failure.

The US Medicare agency outlined the recommended payments in its 2021 Outpatient Prospective Payment System (OPPS) and ambulatory surgery center (ASC)

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