412.89—Payment adjustment for certain replaced devices.
(a) General rule.
For discharges occurring on or after October 1, 2007, the amount of payment for a discharge described in paragraph (b) of this section is reduced when—
(b) Discharges subject to payment adjustment.
(1)
Payment is reduced in accordance with paragraph (a) of this section only if the implantation of the device determines the DRG assignment.
(2)
CMS lists the DRGs that qualify under paragraph (b)(1) of this section in the annual final rule for the hospital inpatient prospective payment system.
(c) Amount of reduction.
(1)
For a device provided to the hospital without cost, the cost of the device is subtracted from the DRG payment.
[72 FR 47411, Aug. 22, 2007]