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Your progress 0 of 14 lessons complete · up next: Current Procedural Terminology Codes [Start path](/terms/cpt?from=reimbursement-and-market-access) 1. 1 [ Reimbursement ## Current Procedural Terminology Codes(CPT) AMA-maintained codes used to report medical procedures and services for billing. Why this term here: How a physician procedure gets described and paid; the AMA-owned foundation. ](/terms/cpt?from=reimbursement-and-market-access)Mark done 2. 2 [ Reimbursement ## CPT Codes(CPT) AMA-maintained codes that describe medical procedures and services. Why this term here: The three CPT categories (I / II / III) and when each applies. ](/terms/cpt-codes?from=reimbursement-and-market-access)Mark done 3. 3 [ Reimbursement ## HCPCS Codes(HCPCS) CMS-maintained codes for products, supplies, and services not in CPT. Why this term here: The CMS-owned code set that covers supplies, devices, and injectables CPT does not. ](/terms/hcpcs?from=reimbursement-and-market-access)Mark done 4. 4 [ Reimbursement ## ICD-10-CM / ICD-10-PCS Diagnosis (CM) and inpatient procedure (PCS) coding systems used in U.S. claims. Why this term here: Diagnosis codes that justify medical necessity for payer claims. ](/terms/icd-10?from=reimbursement-and-market-access)Mark done 5. 5 [ Reimbursement ## National and Local Coverage Determinations(NCD / LCD) Medicare coverage policies issued nationally (NCD) or by individual MAC contractors (LCD). Why this term here: National vs Local Coverage Determinations, the two CMS coverage vehicles. ](/terms/ncd-lcd?from=reimbursement-and-market-access)Mark done 6. 6 [ Reimbursement ## LCD and NCD Local and National Coverage Determinations from Medicare. Why this term here: Same relationship viewed from the local (MAC) side. ](/terms/lcd-ncd?from=reimbursement-and-market-access)Mark done 7. 7 [ Reimbursement ## Medicare Administrative Contractor(MAC) Private contractors that process Medicare Part A/B and DME claims and issue Local Coverage Determinations within their jurisdictions. Why this term here: Medicare Administrative Contractors: the actual entities that adjudicate claims. ](/terms/mac?from=reimbursement-and-market-access)Mark done 8. 8 [ Reimbursement ## New Technology Add-On Payment(NTAP) Supplemental Medicare payment for inpatient use of qualifying new technologies. Why this term here: New Technology Add-on Payment: the inpatient reimbursement lift for novel devices. ](/terms/ntap?from=reimbursement-and-market-access)Mark done 9. 9 [ Reimbursement ## Transitional Coverage for Emerging Technologies(TCET) CMS pathway providing time-limited Medicare coverage for FDA-designated Breakthrough Devices. Why this term here: Transitional Coverage for Emerging Technologies: the modern replacement for MCIT. ](/terms/tcet?from=reimbursement-and-market-access)Mark done 10. 10 [ Reimbursement ## Prior Authorization Payer requirement for approval before a service or device is covered. Why this term here: The payer control that can silently kill utilization even after coverage exists. ](/terms/prior-authorization?from=reimbursement-and-market-access)Mark done 11. 11 [ Reimbursement ## Health Technology Assessment(HTA) Systematic evaluation of clinical and economic value of a health technology. Why this term here: Health Technology Assessment: standard in EU, growing in the US. ](/terms/hta?from=reimbursement-and-market-access)Mark done 12. 12 [ Reimbursement ## Budget Impact Model(BIM) Financial model that estimates the total cost consequences of adopting a new technology to a payer's budget over a defined horizon. Why this term here: The financial narrative payers ask for alongside clinical evidence. ](/terms/budget-impact-model?from=reimbursement-and-market-access)Mark done 13. 13 [ Reimbursement ## Value-Based Care(VBC) Payment tied to outcomes and total cost of care, not volume of services. Why this term here: Where reimbursement risk is shifted onto providers and manufacturers. ](/terms/value-based-care?from=reimbursement-and-market-access)Mark done 14. 14 [ Reimbursement ## RWE for Reimbursement Real-world evidence used to support coverage and payment decisions. Why this term here: How RWE increasingly closes coverage decisions. ](/terms/real-world-evidence-reimbursement?from=reimbursement-and-market-access)Mark done Finished the path? Test yourself with a quiz tailored to these 14 terms. [Take the Reimbursement & Market Access quiz](/quiz?path=reimbursement-and-market-access) MedTech Terms An authoritative, plain-language reference for the regulatory, quality, cybersecurity, and software terms that shape modern medical devices. Browse - [All terms](/terms) - [A–Z index](/a-z) - [Categories](/categories) - [Ecosystems](/ecosystems) - [Learning paths](/paths) - [Compare terms](/compare) - [Quiz](/quiz) Resources - [FDA Medical Devices](https://www.fda.gov/medical-devices) - [EU MDR](https://eur-lex.europa.eu/eli/reg/2017/745/oj) - [IMDRF](https://www.imdrf.org/) - [Methodology](/methodology) - [Changelog](/changelog) - [Editor: Christian Espinosa](/authors/christian-espinosa) - [About this site](/about) © 2026 MedTech Terms. Reference content for educational purposes - not regulatory advice. A community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com)