; and (iii) create new HCPCS codes for other miscellaneous, otherwise not classified, or custom CRT items. (C) For each year subsequent to the year during which the Secretary publishes the list under subparagraph (A), the Secretary shall publish any necessary updates to such list (including additions of new CRT items and any changes in applicable HCPCS codes and/or code descriptors) as needed to ensure appropriate access to the full range of medically necessary CRT items and technologies. . 4. Payment rules Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following: (x) Payment for CRT items (1) General rule for payment (A) In general Not later than the date that is one year after the date of the enactment of this subsection, subject to subparagraph (B), the Secretary shall establish a fee schedule that shall apply to CRT items as defined at section 1861(kkk) and shall ensure that such fee schedule considers the potential impact on quality, access, and beneficiary liability, including the likely effects on assignment rates and participation rates, and facilitates appropriate access to medically necessary CRT items and technologies. (B) Methodology In establishing the CRT fee schedule payment system under subparagraph (A), the Secretary shall include in such fee schedule, at a minimum, the allowance of purchase of items identified at section 1861(kkk)(3) and— (i) shall set the CRT fee schedule payment amounts for CRT items identified by the codes listed in section 1861(kkk)(3)(B)(i) at a purchase price derived from payment amounts from the January 1, 2015 Medicare fee schedule plus annual Consumer Price Index-Urban All Item updates for each subsequent year to such items, as applicable, under this section; (ii) shall calculate the payment amounts for CRT items identified by the codes created pursuant to section 1861(kkk)(3)(B)(ii) in accordance with the methodology described in subparagraph (C)