decisionhealth Newsletters, Coder Pink Sheets - 2005 Issue 6 (June)
Medicare adds 66711 to ASC list retroactive to January 1
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Article Overview
This brief Medicare update discusses an ambulatory surgical center payment change involving an ophthalmology procedure code and the retroactive effective date of its inclusion on the ASC-approved list. It is relevant to coders, billing staff, and ASC personnel who follow Medicare transmittals and facility payment updates. The article also references related CMS guidance and the relationship between the newly added code and a closely related existing code.
Why This Topic Matters
It helps practices and ASCs recognize when a previously denied facility claim may be eligible for resubmission under Medicare’s updated ASC list, based on a retroactive policy change.
What You Will Learn
- How a Medicare ASC list update can affect facility payment eligibility
- Why retroactive effective dates may matter for denied claims
- How CMS transmittal notices communicate code-list changes
- How an ophthalmology procedure code update relates to a closely associated existing code
Who Should Read This
- Medical coders
- ASC billing staff
- Ophthalmology practice administrators
- Revenue cycle teams
- Compliance staff
Codes Discussed
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