# Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding—December 17, 2025, With an Overflow Date of December 18, 2025
**AGENCY:**
Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS).
**ACTION:**
Notice of meeting.
**SUMMARY:**
This notice announces the second biannual virtual Healthcare Common Procedure Coding System (HCPCS) Level II public meeting of 2025 to discuss the Centers for Medicare and Medicaid Services' preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable, for new revisions to the HCPCS Level II code set for non-drug and non-biological items and services, as well as how to register for the meeting.
**DATES:**
Primary date: Wednesday, December 17, 2025, 9 a.m. to 5 p.m. Eastern Time (ET). Overflow date: Thursday, December 18, 2025, 9 a.m. to 5 p.m. ET.
**ADDRESSES:**
*Virtual Meeting Location:* The HCPCS Level II public meeting will be held virtually via Microsoft Teams only.
**FOR FURTHER INFORMATION CONTACT:**
Sundus Ashar, (410) 786-0750, *[email protected],* or *[email protected].*
**SUPPLEMENTARY INFORMATION:**
**I. Background**
On December 21, 2000, Congress enacted the Medicare, Medicaid, and State Children's Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. L. 106-554). Section 531(b) of BIPA mandated that the Secretary establish procedures that permit public consultation for coding and payment determinations for new durable medical equipment (DME) under Medicare Part B of title XVIII of the Social Security Act (the Act). In the November 23, 2001, *Federal Register* (66 FR 58743), we published a notice providing information regarding the establishment of the annual public meeting process for DME.
In 2020, we implemented changes to our HCPCS Level II coding procedures, including the establishment of quarterly coding cycles for drugs and biological products and biannual coding cycles for non-drug and non-biological items and services.
In the December 28, 2021, *Federal Register* (86 FR 73860), we published a final rule that established procedures for making Medicare benefit category and payment determinations for new items and services that are DME, prosthetic devices, orthotics and prosthetics, therapeutic shoes and inserts, surgical dressings, or splints, casts, and other devices used for reductions of fractures and dislocations under Medicare Part B.
**II. Public Meeting Agendas**
The list of topics for discussion, which will become available in the upcoming days at *https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings,* identify CMS' preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable. In establishing the public meeting agendas, we may group multiple, related code applications under the same agenda item.
**Overflow Procedures**
If all of the agenda items are not addressed on December 17, 2025, we will hold a subsequent virtual session on December 18, 2025 at 9 a.m. ET. We will proceed in the order of the HCPCS Level II public meeting agenda, only discussing those items that were not addressed, until complete. We will not go back and discuss any prior agenda items. Original registration will apply to the overflow date. The link to the live stream of the public meeting will be posted in the Guidelines for Participation in HCPCS Public Meetings document on the CMS website.
**III. Participation Categories**
Every speaker must declare at the beginning of their presentation during the meeting, as well as in their written summary, whether they have any financial involvement with the applicant and manufacturer, if different, of the item that is the subject of the HCPCS Level II application, or with any competitors of that manufacturer with respect to the item. This includes any payment, salary, remuneration, or benefit provided to the speaker by the applicant, manufacturer, or any such competitors.
**A. Primary Speakers**
Each applicant that submitted a HCPCS Level II code application that will be discussed at the public meeting is permitted to designate a primary speaker. Fifteen minutes is the total time interval for a primary speaker per agenda item. Any unused time from the primary speaker will be forfeited and cannot be delegated to another speaker. Primary speakers must register as a speaker and submit any supporting PowerPoint presentation by the stated deadline. We will accept PowerPoint presentations (maximum of 10 slides in PowerPoint presentation format, not PDF) that are emailed to *[email protected]* by the stated deadline. We will not play videos, transitions, or animations during the public meeting session and request the speakers exclude these materials from their PowerPoint presentation and instead submit any relevant video or animation materials along with the written comments. We request that speakers ensure the presentation does not include any inappropriate or confidential content before submission. Due to the timeframe needed for the planning and coordination of the HCPCS Level II public meetings, materials that are not submitted appropriately and in accordance with this deadline cannot be accommodated.
**B. 5-Minute Speakers**
Any individual related to the public meeting agenda item, including but not limited to an employee, competitor, insurer, public consumer, or other interested party, may register as a 5-minute speaker by the stated deadline. Depending on the availability of time, we may limit the number of 5-minute speakers; however, we will ensure an array of interested parties are represented if registered by the stated deadline. We will not accept any other written materials, outside of the written comments, from a 5-minute speaker (that is, 5-minute speakers are not allowed to present a PowerPoint presentation).
**C. All Other Attendees**
All individuals who plan to attend the public meetings to listen and do not plan to speak may access the public meeting using the live stream link posted on the HCPCS Level II website.
Individuals who require special assistance must register and request special assistance services by the stated deadline in the *FOR FURTHER INFORMATION CONTACT* section of this notice.
**IV. Registration Requirements**
The registration instructions for the HCPCS Level II public meeting will be posted in the Guidelines for Participation in HCPCS Public Meetings document on the CMS website. All individuals who plan to speak (15 or 5 minutes) at the public meeting must register by 5 p.m. ET on December 3, 2025. The following information must be provided when registering by the stated deadline:
• Name;
• Company name (if applicable);
• Email address;
• Topic item and application number (for speakers only);
• Any special assistance requests;
• Whether the registrant is a primary speaker or a 5-minute speaker for an agenda item; and
• Whether the primary speaker will use a PowerPoint presentation.
**V. Written Comments**
The primary and 5-minute speaker(s) must email a brief, written summary (one paragraph) of their comments and conclusions. Written comments from anyone, including the primary and 5-minute speaker(s), will only be accepted when emailed to: *[email protected]* before 5 p.m. ET on December 19, 2025.
**VI. Additional Information**
All participants should regularly check the CMS website for updates at *https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.*
The HCPCS section of the CMS website also includes details regarding the public meeting process for new revisions to the HCPCS Level II code set, including guidelines for an effective presentation. The HCPCS section of the CMS website also contains a document titled “HCPCS Level II Coding Procedures (PDF),” which is a description of the HCPCS Level II coding process, including a detailed explanation of the procedures CMS uses to make HCPCS Level II coding determinations.
When CMS refers to a HCPCS Level II code or HCPCS Level II coding application above, CMS may also be referring to circumstances when a HCPCS code has already been issued, but a Medicare benefit category and/or payment has not been determined. CMS is working diligently to address Medicare benefit category and payment determinations for new items and services that may be DME, prosthetic devices, orthotics and prosthetics, therapeutic shoes and inserts, surgical dressings, or splints, casts, and other devices used for reductions of fractures and dislocations under Medicare Part B.
**VII. Collection of Information Requirements**
This document does not impose information collection requirements, that is, reporting, recordkeeping, or third-party disclosure requirements. Consequently, there is no need for review by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 *et seq.).*
The Administrator of CMS, Dr. Mehmet Oz, having reviewed and approved this document, authorizes Trenesha Fultz-Mimms, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the *Federal Register* .
Trenesha Fultz-Mimms,
Federal Register Liaison, Centers for Medicare & Medicaid Services.