Ambulatory Surgical Center (ASC) Approved HCPCS Codes and Payment Rates

These files contain the procedure codes which may be performed in an ASC under the Medicare program as well as the ASC payment group assigned to each of the procedure codes. The ASC payment group determines the amount that Medicare pays for facility services furnished in connection with a covered procedure.  For 2000 - 2006 files, go to the ASC Payment Rates Archive page (see the Left column).
Note: These files contain material copyrighted by the American Medical Association.

NOTICE: Please note that the payment indicators and payment rates for a number of services listed in Addenda AA and BB to the calendar year (CY) 2010 Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) final rule with comment period have been revised since the original posting on October 30, 2009 and re-posting on November 25, 2009.

The CY 2010 payment indicators and rates for many of the ASC services listed in Addenda AA and BB are based on the CY 2010 nonfacility practice expense (PE) amounts under the Medicare Physician Fee Schedule (MPFS).  Technical corrections to several nonfacility PE relative value units  and a legislative change to the CY 2010 MPFS conversion factor update required revision of several ASC payment indicators and rates that were included in the Addenda to the CY 2010 OPPS/ASC final rule with comment period and posted on this web site.

The affected ASC payment indicators and rates have been updated in the revised Addenda AA and BB to the CY 2010 OPPS/ASC final rule with comment period posted December 31, 2009 on the CMS website at:  http://www.cms.hhs.gov/ASCPayment/11_Addenda_Updates.asp

A correction notice will also be published in the Federal Register regarding these corrections.

The ASC payment indicators and rates displayed in these revised Addenda reflect a zero percent update to the MPFS conversion factor and are valid for the period January 1 through February 28, 2010. 

ASC CENTER
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) ambulatory surgical centers, go to the Ambulatory Surgical Centers (ASC) Center (see under "Related Links Inside CMS" below).

Downloads
CMS Recognized P-C IOLS and A-C IOLs [PDF, 13KB]
Related Links Inside CMS
Ambulatory Surgical Center Payment System:  Limited Data Sets Ambulatory Surgical Centers (ASC) Center
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 01/04/2010 6:27:26 AM
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