ASC-approved list sees two ortho additions, two deletions

Why This Topic Matters

Medicare ASC list changes can affect where procedures may be performed, how facilities are paid, and how practices plan for reimbursement and site-of-service decisions. The article also provides context on CMS’s longer-term ASC payment reform agenda, which may influence future coding and billing workflows.

Article Sections

1. ASC list changes and payment effects

   This section covers recent updates to the Medicare ASC-approved procedure list and the associated facility payment implications. It focuses on orthopedic procedures and the effective date of the changes.

2. CMS proposal history and final decision

   This section summarizes CMS’s earlier proposal, the final scope of additions and deletions, and comments from specialty organizations and other stakeholders. It provides background on how the final list differed from the original proposal.

3. Upcoming ASC payment system overhaul

   This section discusses CMS’s planned longer-term changes to the ASC fee schedule and its relationship to outpatient payment methods. It also addresses the agency’s stated reasons for revising the system.