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Current as of January 02, 2025 | Updated by Findlaw Staff
(a) Included cancer types. CMS includes in the RO Model test cancer types that satisfy all of the following criteria. The cancer type:
(1) Is commonly treated with radiation; and
(2) Has associated current ICD–10 codes that have demonstrated pricing stability.
(b) Removing cancer types. CMS removes cancer types in the RO Model if it determines:
(1) RT is no longer appropriate to treat a cancer type per nationally recognized, evidence-based clinical treatment guidelines;
(2) CMS discovers a ≥10 percent error in established national base rates; or
(3) The Secretary determines a cancer type not to be suitable for inclusion in the RO Model.
(c) ICD–10 codes for included cancer types. CMS displays on the RO Model website no later than 30 days prior to each PY the ICD–10 diagnosis codes associated with each included cancer type.
Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.512.230 Criteria for determining cancer types - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-512-230/
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