CMS QSO Life Safety Code Memo: Categorical Waiver – Corrugated Medical Tubing (9/20)

By CMS - September 28, 2020

Memo # QSO-20-40-LSC

Posting Date 2020-09-24

Fiscal Year 2020


• CMS regulation requires compliance with the 2012 edition of the NFPA Health Care Facilities Code (NFPA 99) for Ambulatory Surgical Centers, Critical Access Hospitals, End-Stage Renal Disease, Hospitals, Inpatient Hospice, Intermediate Care Facilities for Intellectuals with Disabilities, Long-term Care, Programs for All-Inclusive Care of the Elderly, and Religious Nonmedical Health Care Institutions facilities.

• The 2012 NFPA 99 requires medical gas and vacuum system tubing to be rigid copper tubing and does not allow for the use of corrugated medical tubing (CMT).

• In certain applications, the inability to use CMT may be considered an unreasonable hardship as the installation of CMT may be more efficient and economical.

• CMS is issuing a categorical waiver to allow the use of CMT in new and existing health care facilities based on provisions provided in the 2018 NFPA 99.