ASC Payment Indicator Codes
The icons below are shown on the appropriate CPT® and HCPCS codes.![]() | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. |
![]() | Deleted/discontinued code; no payment made. |
![]() | Corneal tissue acquisition, hepatitis B vaccine; paid at reasonable cost. |
![]() | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. |
![]() | Brachytherapy source paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate. |
![]() | Device-intensive procedure on ASC list in CY 2007; paid at adjusted rate. |
![]() | OPPS pass-through device paid separately when provided integral to a surgical procedure on ASC list; payment contractor-priced. |
![]() | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. |
![]() | Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate. |
![]() | Unclassified drugs and biologicals; payment contractor-priced. |
![]() | Influenza vaccine; pneumococcal vaccine. Packaged item/service; no separate payment made. |
![]() | New Technology Intraocular Lens (NTIOL); special payment. |
![]() | Packaged service/item; no separate payment made. |
![]() | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. |
![]() | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. |
![]() | Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. |
![]() | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. |
![]() | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on MPFS nonfacility PE RVUs. |
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