---
kind: "section"
citation: "42 C.F.R. § 512.230"
title: "42"
number: "512.230"
heading: "Criteria for determining cancer types."
url: "https://uscodex.org/cfr/42/512.230"
---

# §512.230. Criteria for determining cancer types.

- (a) **Included cancer types.** CMS includes in the RO Model cancer types that satisfy the following criteria:
  - (1) The cancer type is commonly treated with radiation per nationally recognized, evidence-based clinical treatment guidelines;
  - (2) The cancer type has one or more associated current ICD-10 codes that have demonstrated pricing stability; and
  - (3) **The Secretary has not determined that the cancer type is not suitable for inclusion in the RO Model.**
- (b) **Removing cancer types.** CMS removes cancer types in the RO Model if it determines:
  - (1) That there is a ≥10 percent error in established national base rates; or
  - (2) **The cancer type does not meet the criteria set forth in paragraph (a) of this section.**
- (c) **ICD-10 codes for included cancer types.** CMS displays on the RO Model website no later than 30 days prior to each PY the ICD-10 diagnosis codes associated with each included cancer type.

## Notes

### Amendments

[85 FR 61362, Sept. 29, 2020, as amended at 86 FR 63996, Nov. 16, 2021]

### Authority

Authority: 42 U.S.C. 1302, 1315a, and 1395hh.

### Source

Source: 85 FR 61362, Sept. 29, 2020, unless otherwise noted.

### Amendments

[85 FR 61362, Sept. 29, 2020, as amended at 86 FR 63996, Nov. 16, 2021]