Revision to Chapter 6 – Relationships with Providers
A reference is being inserted into Chapter 6, §70 –
“Institutional Provider and Supplier Certification,” to indicate that certain surgical
procedures and Positron Emission Tomography (PET) scans must be performed at
Medicare-approved facilities. This change is being made to conform to recent updates in
Original Medicare requirements contained in national coverage determinations.
Specifically, carotid artery stenting, Ventricular Assist Device (VAD) destination
therapy, bariatric surgery, certain oncologic PET scans in Medicare-specified studies, and
lung volume reduction surgery must be performed at Medicare-certified facilities. In
addition, we are also adding links to the CMS Web site lists of approved facilities for
organ transplant centers.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 25, 2007
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.