; and (B) to account for a medical service or technology that is furnished as a part of ALS-related services for which, as determined by the Secretary— (i) payment for the service or technology as part of ALS-related services under this section was not being made in the preceding coverage year; and (ii) the cost of the service or technology is not insignificant in relation to the payment amount (as determined under this subsection) payable for ALS-related services. (4) Mechanism for payments For purposes of making payments for ALS-related services, the Secretary shall establish a mechanism under the payment system under this subsection which makes payment when a qualified provider submits a claim for reimbursement which includes, with respect to a covered ALS individual, an alphanumeric code issued under the International Classification of Diseases, 10th Revision, Clinical Modification (commonly referred to as ICD–10–CM ) and its subsequent revisions that is for the treatment of a diagnosis of amyotrophic lateral sclerosis. (5) No cost sharing Payment under this subsection shall be made only on an assignment-related basis without any cost sharing. (6) Qualified provider defined In this section, the term qualified provider means a provider of services or a clinic which— (A) is capable of furnishing care to a covered ALS individual, including by providing such services as providing specialized physician or nurse practitioner support, occupational therapy support, speech pathology support, physical therapy, dietary support, respiratory support, registered nurse support, and coordination of the furnishing of durable medical equipment; and (B) meets such requirements as the Secretary may prescribe by regulation to implement subparagraph (A), in consultation with— (i) covered ALS individuals and their representatives; (ii) physicians who provide ALS-related services and their representatives