Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 405  /  Sec. 405.205 Coverage of a Category B (Nonexperimental/investigational)

(a) For any device that meets the requirements of the exception at Sec. 411.15(o) of this chapter, the following procedures apply:

(1) The FDA notifies CMS, when it notifies the sponsor, that the device is categorized by FDA as Category B (Nonexperimental/investigational).

(2) CMS uses the categorization of the device as a factor in making Medicare coverage decisions.

(b) If the FDA becomes aware that a categorized device no longer meets the requirements of the exception at Sec. 411.15(o) of this chapter, the FDA notifies the sponsor and CMS and the procedures described in paragraph (a)(2) of this section apply. [60 FR 48423, Sept. 19, 1995, as amended at 78 FR 74809, Dec. 10, 2013