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Title 42

Displaying title 42, up to date as of 7/16/2026. Title 42 was last amended 7/01/2026.
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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter BMedicare Program405 – 429
Part 412Prospective Payment Systems for Inpatient Hospital Services412.1 – 412.634
Subpart AGeneral Provisions412.1 – 412.10
Subpart BHospital Services Subject to and Excluded From the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs412.20 – 412.30
Subpart CConditions for Payment Under the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs412.40 – 412.52
Subpart DBasic Methodology for Determining Prospective Payment Federal Rates for Inpatient Operating Costs412.60 – 412.64
§ 412.60DRG classification and weighting factors.
§ 412.62Federal rates for inpatient operating costs for fiscal year 1984.
§ 412.63Federal rates for inpatient operating costs for Federal fiscal years 1984 through 2004.
§ 412.64Federal rates for inpatient operating costs for Federal fiscal year 2005 and subsequent fiscal years.
Subpart EDetermination of Transition Period Payment Rates for the Prospective Payment System for Inpatient Operating Costs412.70 – 412.79
Subpart FPayments for Outlier Cases, Special Treatment Payment for New Technology, and Payment Adjustment for Certain Replaced Devices412.80 – 412.89
Subpart GSpecial Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs412.90 – 412.109
Subpart HPayments to Hospitals Under the Prospective Payment Systems412.110 – 412.140
Subpart IAdjustments to the Base Operating DRG Payment Amounts Under the Prospective Payment Systems for Inpatient Operating Costs412.150 – 412.190
Subpart J [Reserved]
Subpart KProspective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico412.200 – 412.220
Subpart LThe Medicare Geographic Classification Review Board412.230 – 412.280
Subpart MProspective Payment System for Inpatient Hospital Capital Costs412.300 – 412.374
Subpart NProspective Payment System for Inpatient Hospital Services of Inpatient Psychiatric Facilities412.400 – 412.434
Subpart OProspective Payment System for Long-Term Care Hospitals412.500 – 412.560
Subpart PProspective Payment for Inpatient Rehabilitation Hospitals and Rehabilitation Units412.600 – 412.634