U.S. Code of Federal Regulations

Regulations most recently checked for updates: May 25, 2025

All TitlesTitle 42Chapter IVPart 412Subpart F - Subpart F—Payments for Outlier Cases, Special Treatment Payment for New Technology, and Payment Adjustment for Certain Replaced Devices

PAYMENT FOR OUTLIER CASES
§ 412.80 - Outlier cases: General provisions.
§ 412.82 - Payment for extended length-of-stay cases (day outliers).
§ 412.84 - Payment for extraordinarily high-cost cases (cost outliers).

PAYMENT ADJUSTMENT FOR CERTAIN CLINICAL TRIAL CASES AND EXPANDED ACCESS USE IMMUNOTHERAPY
§ 412.85 - Payment adjustment for certain clinical trial and expanded access use immunotherapy cases.
§ 412.83 - Payment for extraordinarily high-cost day outliers.
412.86 - 412.86 [Reserved]

ADDITIONAL SPECIAL PAYMENT FOR CERTAIN NEW TECHNOLOGY
§ 412.87 - Additional payment for new medical services and technologies: General provisions.
§ 412.88 - Additional payment for new medical service or technology.

PAYMENT ADJUSTMENT FOR CERTAIN REPLACED DEVICES
§ 412.89 - Payment adjustment for certain replaced devices.
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