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Medicare Approved Facilities/Trials/Registries

Guidance for Medicare approved facilities/trials/registries on national coverage determinations providing coverage for services and procedures of a complex nature.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 27, 2020

In recent years, Medicare has issued several national coverage determinations providing coverage for services and procedures of a complex nature, with the stipulation that the facilities providing these services meet certain criteria. This criterion usually requires, in part, that the facilities meet the minimum standards to ensure the safety of beneficiaries receiving these services in order to be considered as a provider with the ability and expertise to perform the procedure. Being certified as a Medicare approved facility is required for performing the following procedures: carotid artery stenting, VAD destination therapy, and lung volume reduction surgery.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.