; and (B) in clause (iii), by striking International Classification of Diseases, 9th Revision, Clinical Modification (‘‘ICD–9–CM’’) and inserting International Classification of Diseases, 10th Revision, Clinical Modification (‘‘ICD–10–CM’’) . (3) Revision to the commencement of the period for collection of cost data for new technologies Section 1886(d)(5)(K)(ii)(II) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(K)(ii)(II) ) is amended by inserting the later of the date that is the date of the clearance or approval by the Commissioner of Food and Drugs of the service or technology or after beginning on . (4) Permitting appeals of ntap determinations (A) In general Section 1886(d)(5)(K) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(K) ) is amended by adding at the end the following new clause: (x) (I) An individual or entity that submits an application for additional payment under this subparagraph for a new technology shall be entitled to administrative review of an adverse determination by the Secretary with respect to such application. (II) The Secretary shall establish a process for administrative review for purposes of subclause (I). Under such process, administrative review shall be conducted by the Departmental Appeals Board of the Department of Health and Human Services. Under such process, the Departmental Appeals Board shall complete administrative review within 90 days of the date of receipt of the request for such review. . (B) Conforming amendment Section 1886(d)(7)(B) of such Act ( 42 U.S.C. 1395ww(d)(7)(B) ) is amended by inserting but not including a denial by the Secretary of an application for additional payment under paragraph (5)(K) after paragraph (4)(D) . (5) Requiring new DRG codes for new technologies coming off of new technology add-on Section 1886(d)(5)(K)(ii)(IV) of such Act ( 42 U.S.C. 1395ww(d)(5)(K)(ii)(IV) ) is amended by striking or existing . (6) Limit on aggregate annual adjustment Section 1886(d)(5) of such Act ( 42 U.S.C. 1395ww(d)(5) ) is amended by adding at the end