What is NTAP?
The New Technology Add-on Payment (NTAP) is a special Medicare reimbursement program that ensures patients 65 and older have timely access to breakthrough technologies before Diagnosis Related Groups (DRGs) are updated. NTAP provides additional payment in the hospital inpatient setting when new technologies, like the MY01 Continuous Compartmental Pressure Monitor, are used.
What is TPT?
The Transitional Pass-Through (TPT) Payment is a complementary program for the hospital outpatient and ambulatory surgical center (ASC) settings. TPT provides incremental reimbursement to facilities when the cost of a device exceeds the standard Ambulatory Payment Classification (APC) rate, ensuring early acces to innovative technologies while CMS gathers cost data for future rate adjustments.
Why It Matters
For Hospitals & Surgeons
NTAP and TPT together reduce the financial burden of adopting MY01 by providing additional reimbursement in both inpatient and outpatient cases.
For Patients
Medicare beneficiaries gain faster access to continuous compartmental pressure monitoring, supporting earlier diagnosis of compartment syndrome and improved outcomes.
Reimbursement Details
The following CPT code may be appropriate for the use of the MY01 Compartmental Pressure Monitor. Also listed is the Medicare Physician and Hospital Outpatient Prospective Payment System (OPPS) national unadjusted payment rates for CPT code.
| CPT Code | Description | 2025 Medicare Physician Fee Schedule | 2025 Hospital OPPS APC Payment |
|---|---|---|---|
| 20950 | Monitoring of interstitial fluid pressure | $87.02 | $703.59 |
i CPT® is a registered trademark of the American Medical Association (AMA).
Copyright 2025 AMA. All CPT codes are owned and licensed by the American Medical Association.
ii 2025 Medicare Physician Fee Schedule:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Federal-Regulation-Notices
iii 2025 Medicare Outpatient Hospital Fee Schedule:
https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/addendum-a-b-updates
| Hospital Outpatient Status Indicators | |
|---|---|
| T | Procedure or service subject to multiple procedure discounting. Paid under OPPS; separate APC payment |
For FY 2026, the MY01 Continuous Compartmental Pressure Monitor has a maximum new technology add-on payment of $2,112.50.
Effective October 1, 2025, the use of the MY01 Continuous Compartmental Pressure Monitor can be identified by the following new technology section X PCS procedure code.
| ICD-10-PCS Code | New Technology PCS Description |
|---|---|
| XX2F3W9 | Monitoring of Musculoskeletal Muscle Compartment Pressure, Micro-Elec- tro-Mechanical System, Percutaneous Approach, New Technology Group 9 |
| Outpatient (TPT) | |||
|---|---|---|---|
| HCPCS Code | Payment | ASC Payment | Validity |
| C1742 – Pressure monitoring system, compartmental intramuscular (implantable), continuous | APC + Charges × Cost-to-Charge Ratio (HOPD) | ASC base payment + MAC-specific pricing | October 1, 2025 through September 30, 2028 |
Frequently Asked Questions
What cases are eligible under NTAP?
NTAP applies to inpatient hospital cases for Medicare beneficiaries where the MY01 Continuous Compartmental Pressure Monitor is used. To qualify, the hospital must code the procedure with ICD-10-PCS code XX2F3W9, and the case must meet CMS cost thresholds.
Does NTAP apply only to inpatient settings?
Yes. NTAP is exclusively for inpatient hospital cases. For outpatient procedures, reimbursement is supported under the Transitional Pass-Through (TPT) program, which provides additional payment when billed with HCPCS C1742 + CPT 20950.
How long will NTAP last?
NTAP is typically valid for 2–3 years, until the MS-DRGs are updated to reflect the new technology. TPT approval for outpatient cases is valid until September 30, 2028.