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OMB Control No: 0938-1042	ICR Reference No: 202604-0938-022
Status: Received in OIRA	Previous ICR Reference No: 202304-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-FFS
Title: HCPCS Modification to Code Set Form (CMS-10224)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/24/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	250	250
Time Burden (Hours)	2,500	2,500
Cost Burden (Dollars)	0	0

Abstract: Healthcare Common Procedure Coding System (HCPCS) Level II Code Modification Application Form (CMS-10224) to allow CMS to collect HCPCS Level II Code Modification requests in an electronic application intake system on the CMS-10224 form. All information is received and distributed to CMS' HCPCS workgroup and is reviewed and discussed at monthly workgroup meetings. In turn, CMS' HCPCS workgroup reaches a decision as to whether a change should be made to codes in the HCPCS code set. The respondent who submits the application form can be anyone who has an interest in obtaining a code or modifying an exiting code. However, respondents are usually manufacturers of products, or consultants on behalf of the manufacturer. Applicants will be able to access the HCPCS Level II application, via the Medicare Electronic Application Request Information SystemTM (MEARISTM), on a designated website through CMS.gov. The electronic version of the HCPCS Level II application will be the same as the paper version except for a few minor non-substantive changes as described in question one above and in our crosswalk document. This secure online application maintained by CMS enables applicants to submit their responses to our application questions directly to CMS as opposed to downloading the application from CMS.gov, completing the application, and attaching the completed application and sending via email.

Authorizing Statute(s): PL: Pub.L. 104 - 191 261-264 Name of Law: HIPPA

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 5481	02/06/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 22154	04/24/2026
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process	CMS-10224

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	250	250
Annual Time Burden (Hours)	2,500	2,500
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $613,065

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Malcolm Wilson 667 414-0087 malcolm.wilson@cms.hhs.gov

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