Notice2025-20330
Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding-December 17, 2025, With an Overflow Date of December 18, 2025
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 19, 2025
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
This notice announces the second biannual virtual Healthcare Common Procedure Coding System (HCPCS) Level II public meeting of 2025 to discuss the Centers for Medicare and Medicaid Services' preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable, for new revisions to the HCPCS Level II code set for non-drug and non-biological items and services, as well as how to register for the meeting.
Full Text
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<title>Federal Register, Volume 90 Issue 221 (Wednesday, November 19, 2025)</title>
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[Federal Register Volume 90, Number 221 (Wednesday, November 19, 2025)]
[Notices]
[Pages 52058-52059]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-20330]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1839-N]
Medicare Program; Public Meeting for New Revisions to the
Healthcare Common Procedure Coding System (HCPCS) Coding--December 17,
2025, With an Overflow Date of December 18, 2025
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Notice of meeting.
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SUMMARY: This notice announces the second biannual virtual Healthcare
Common Procedure Coding System (HCPCS) Level II public meeting of 2025
to discuss the Centers for Medicare and Medicaid Services' preliminary
coding, Medicare benefit category, and Medicare payment determinations,
if applicable, for new revisions to the HCPCS Level II code set for
non-drug and non-biological items and services, as well as how to
register for the meeting.
DATES: Primary date: Wednesday, December 17, 2025, 9 a.m. to 5 p.m.
Eastern Time (ET). Overflow date: Thursday, December 18, 2025, 9 a.m.
to 5 p.m. ET.
ADDRESSES: Virtual Meeting Location: The HCPCS Level II public meeting
will be held virtually via Microsoft Teams only.
FOR FURTHER INFORMATION CONTACT: Sundus Ashar, (410) 786-0750,
<a href="/cdn-cgi/l/email-protection#82d1f7ece6f7f1ace3f1eae3f0b3c2e1eff1aceaeaf1ace5edf4"><span class="__cf_email__" data-cfemail="7526001b1100065b14061d140744351618065b1d1d065b121a03">[email protected]</span></a>, or <a href="/cdn-cgi/l/email-protection#d69e9586958596b5bba5f8bebea5f8b1b9a0"><span class="__cf_email__" data-cfemail="377f7467746477545a44195f5f4419505841">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
I. Background
On December 21, 2000, Congress enacted the Medicare, Medicaid, and
State Children's Health Insurance Program (SCHIP) Benefits Improvement
and Protection Act of 2000 (BIPA) (Pub. L. 106-554). Section 531(b) of
BIPA mandated that the Secretary establish procedures that permit
public consultation for coding and payment determinations for new
durable medical equipment (DME) under Medicare Part B of title XVIII of
the Social Security Act (the Act). In the November 23, 2001, Federal
Register (66 FR 58743), we published a notice providing information
regarding the establishment of the annual public meeting process for
DME.
In 2020, we implemented changes to our HCPCS Level II coding
procedures, including the establishment of quarterly coding cycles for
drugs and biological products and biannual coding cycles for non-drug
and non-biological items and services.
In the December 28, 2021, Federal Register (86 FR 73860), we
published a final rule that established procedures for making Medicare
benefit category and payment determinations for new items and services
that are DME, prosthetic devices, orthotics and prosthetics,
therapeutic shoes and inserts, surgical dressings, or splints, casts,
and other devices used for reductions of fractures and dislocations
under Medicare Part B.
II. Public Meeting Agendas
The list of topics for discussion, which will become available in
the
[[Page 52059]]
upcoming days at <a href="https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings</a>, identify CMS' preliminary coding, Medicare benefit
category, and Medicare payment determinations, if applicable. In
establishing the public meeting agendas, we may group multiple, related
code applications under the same agenda item.
Overflow Procedures
If all of the agenda items are not addressed on December 17, 2025,
we will hold a subsequent virtual session on December 18, 2025 at 9
a.m. ET. We will proceed in the order of the HCPCS Level II public
meeting agenda, only discussing those items that were not addressed,
until complete. We will not go back and discuss any prior agenda items.
Original registration will apply to the overflow date. The link to the
live stream of the public meeting will be posted in the Guidelines for
Participation in HCPCS Public Meetings document on the CMS website.
III. Participation Categories
Every speaker must declare at the beginning of their presentation
during the meeting, as well as in their written summary, whether they
have any financial involvement with the applicant and manufacturer, if
different, of the item that is the subject of the HCPCS Level II
application, or with any competitors of that manufacturer with respect
to the item. This includes any payment, salary, remuneration, or
benefit provided to the speaker by the applicant, manufacturer, or any
such competitors.
A. Primary Speakers
Each applicant that submitted a HCPCS Level II code application
that will be discussed at the public meeting is permitted to designate
a primary speaker. Fifteen minutes is the total time interval for a
primary speaker per agenda item. Any unused time from the primary
speaker will be forfeited and cannot be delegated to another speaker.
Primary speakers must register as a speaker and submit any supporting
PowerPoint presentation by the stated deadline. We will accept
PowerPoint presentations (maximum of 10 slides in PowerPoint
presentation format, not PDF) that are emailed to <a href="/cdn-cgi/l/email-protection#51191201120211323c227f3939227f363e27"><span class="__cf_email__" data-cfemail="377f7467746477545a44195f5f4419505841">[email protected]</span></a> by
the stated deadline. We will not play videos, transitions, or
animations during the public meeting session and request the speakers
exclude these materials from their PowerPoint presentation and instead
submit any relevant video or animation materials along with the written
comments. We request that speakers ensure the presentation does not
include any inappropriate or confidential content before submission.
Due to the timeframe needed for the planning and coordination of the
HCPCS Level II public meetings, materials that are not submitted
appropriately and in accordance with this deadline cannot be
accommodated.
B. 5-Minute Speakers
Any individual related to the public meeting agenda item, including
but not limited to an employee, competitor, insurer, public consumer,
or other interested party, may register as a 5-minute speaker by the
stated deadline. Depending on the availability of time, we may limit
the number of 5-minute speakers; however, we will ensure an array of
interested parties are represented if registered by the stated
deadline. We will not accept any other written materials, outside of
the written comments, from a 5-minute speaker (that is, 5-minute
speakers are not allowed to present a PowerPoint presentation).
C. All Other Attendees
All individuals who plan to attend the public meetings to listen
and do not plan to speak may access the public meeting using the live
stream link posted on the HCPCS Level II website.
Individuals who require special assistance must register and
request special assistance services by the stated deadline in the FOR
FURTHER INFORMATION CONTACT section of this notice.
IV. Registration Requirements
The registration instructions for the HCPCS Level II public meeting
will be posted in the Guidelines for Participation in HCPCS Public
Meetings document on the CMS website. All individuals who plan to speak
(15 or 5 minutes) at the public meeting must register by 5 p.m. ET on
December 3, 2025. The following information must be provided when
registering by the stated deadline:
<bullet> Name;
<bullet> Company name (if applicable);
<bullet> Email address;
<bullet> Topic item and application number (for speakers only);
<bullet> Any special assistance requests;
<bullet> Whether the registrant is a primary speaker or a 5-minute
speaker for an agenda item; and
<bullet> Whether the primary speaker will use a PowerPoint
presentation.
V. Written Comments
The primary and 5-minute speaker(s) must email a brief, written
summary (one paragraph) of their comments and conclusions. Written
comments from anyone, including the primary and 5-minute speaker(s),
will only be accepted when emailed to: <a href="/cdn-cgi/l/email-protection#f4bcb7a4b7a7b4979987da9c9c87da939b82"><span class="__cf_email__" data-cfemail="8cc4cfdccfdfccefe1ffa2e4e4ffa2ebe3fa">[email protected]</span></a> before 5 p.m.
ET on December 19, 2025.
VI. Additional Information
All participants should regularly check the CMS website for updates
at <a href="https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings</a>.
The HCPCS section of the CMS website also includes details
regarding the public meeting process for new revisions to the HCPCS
Level II code set, including guidelines for an effective presentation.
The HCPCS section of the CMS website also contains a document titled
``HCPCS Level II Coding Procedures (PDF),'' which is a description of
the HCPCS Level II coding process, including a detailed explanation of
the procedures CMS uses to make HCPCS Level II coding determinations.
When CMS refers to a HCPCS Level II code or HCPCS Level II coding
application above, CMS may also be referring to circumstances when a
HCPCS code has already been issued, but a Medicare benefit category
and/or payment has not been determined. CMS is working diligently to
address Medicare benefit category and payment determinations for new
items and services that may be DME, prosthetic devices, orthotics and
prosthetics, therapeutic shoes and inserts, surgical dressings, or
splints, casts, and other devices used for reductions of fractures and
dislocations under Medicare Part B.
VII. Collection of Information Requirements
This document does not impose information collection requirements,
that is, reporting, recordkeeping, or third-party disclosure
requirements. Consequently, there is no need for review by the Office
of Management and Budget under the authority of the Paperwork Reduction
Act of 1995 (44 U.S.C. 3501 et seq.).
The Administrator of CMS, Dr. Mehmet Oz, having reviewed and
approved this document, authorizes Trenesha Fultz-Mimms, who is the
Federal Register Liaison, to electronically sign this document for
purposes of publication in the Federal Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2025-20330 Filed 11-18-25; 8:45 am]
BILLING CODE 4120-01-P
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