---
kind: "section"
citation: "42 C.F.R. § 405.1804"
title: "42"
number: "405.1804"
heading: "Matters not subject to administrative and judicial review under prospective payment."
url: "https://uscodex.org/cfr/42/405.1804"
---

# §405.1804. Matters not subject to administrative and judicial review under prospective payment.


Neither administrative nor judicial review is available for controversies about the following matters:

- (a) The determination of the requirement, or the proportional amount, of the budget neutrality adjustment in the prospective payment rates required under [section 1886(e)(1)](/cfr/42/1886.md?p=e-1) of the Social Security Act.
- (b) **The establishment of—**
  - (1) Diagnosis related groups (DRGs);
  - (2) The methodology for the classification of inpatient discharges within the DRGs; or
  - (3) Appropriate weighting factors that reflect the relative hospital resources used with respect to discharge within each DRG.

## Notes

### Amendments

[49 FR 322, Jan. 1, 1984, as amended at 78 FR 75195, Dec. 10, 2013]

### Authority

Authority: Secs. 205, 1102, 1814(b), 1815(a), 1833, 1861(v), 1871, 1872, 1878, and 1886 of the Social Security Act (42 U.S.C. 405, 1302, 1395f(b), 1395g(a), 1395l, 1395x(v), 1395hh, 1395ii, 1395oo, and 1395ww).

### Source

Source: 39 FR 34515, Sept. 26, 1974, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977.

### Authority

Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).

### Amendments

[49 FR 322, Jan. 1, 1984, as amended at 78 FR 75195, Dec. 10, 2013]