Medicare_Claims_Processing_Manual / Chapter_14 / 10.2

Why This Topic Matters

ASC claims depend on correctly understanding which services are part of the facility payment framework and which are outside it. This guidance helps readers identify the scope of the ASC list and the major service categories discussed in Medicare policy.

Article Sections

1. Ambulatory Surgical Center Services on ASC List

   Overview of ASC list-based services and the relationship between ASC facility services and other Medicare-covered services. Introduces the policy context and referenced federal sources.

2. Covered ASC facility services include

   Broad categories of services and items commonly treated as part of ASC facility coverage. Summarizes the main groupings discussed in the manual.

3. Nursing Services, Services of Technical Personnel, and Other Related Services

   Describes the general category of staff-related services connected to covered procedures in the ASC setting.

4. Use by the Patient of the ASC’s Facilities

   Covers the facility spaces and patient-use areas associated with surgical services in an ASC.

5. Drugs, Biologicals, Surgical Dressings, Supplies, Splints, Casts, Appliances, and Equipment

   Addresses common supplies and related items furnished in connection with ASC procedures, along with general coverage context.

6. Diagnostic or Therapeutic Items and Services

   Discusses diagnostic and therapeutic items and services furnished by ASC staff and the broader laboratory context referenced in the manual.

7. Administrative, Recordkeeping and Housekeeping Items and Services

   Summarizes the operational support functions associated with running an ASC facility.

8. Blood, Blood Plasma, Platelets, etc., Except Those to Which Blood Deductible Applies

   Covers the treatment of blood and related products within the facility-service framework and the role of the blood deductible.

9. Materials for Anesthesia

   Describes anesthesia-related materials included in the facility-service discussion.

10. Intraocular Lenses (IOLs) and New Technology IOLs (NTIOLs)

    Summarizes the lens-related categories discussed in the article, including references to FDA classification and effective dates.