How the new ASC rule changes your pain practice’s coding and billing

Why This Topic Matters

Pain practices need to understand which procedures may now be performed and paid in the ASC setting, as well as how related device and implant payment policies affect reimbursement. The article helps readers evaluate operational and billing impacts of the ASC rule without relying on the full premium text.

Article Sections

1. ASC payment basics and exclusions

   Introduces the updated ASC payment structure and the general types of services that are not payable in this setting. It also notes the reference material used to identify excluded procedures.

2. Newly allowed procedures in the ASC

   Summarizes groups of pain-related procedures that became eligible for ASC performance and payment. The section also places the changes in the context of 2008 reimbursement and related payment category updates.

3. Advisory on implantable devices

   Explains general payment handling for device-intensive procedures and implant-related items under ASC and outpatient payment policies. It discusses how device categories and packaged items are treated at a broad level.