Medical Equipment Submissions

Medical Equipment Registration Form:

The form below is to be used for registering medical equipment for the Medical Equipment Registry. This includes all CT Scanners, Linear Accelerators, MRI's, PET Scanners, Cyberknife, Gamma Knife, and Proton Therapy units regardless if the unit is owned or leased.

Registration Form (pdf file)
Registration Form (Word File)

Link for CPT Codes Used for Submitting Medical Equipment Utilization:

The link below will take you to the list of CPT codes.

Click Here for the Current Reporting Year's Medical Equipment CPT Codes

Medical Equipment Utilization Link:

The link below will take you to the medical equipment utilization form. Through the assistance of the Tennessee Hospital Association, this link was established to help collect the utilization by payor source and utilization by county.

Click Here To Submit Medical Equipment Utilization Information