Program_Memos / 2003 / AB-03-137

Why This Topic Matters

It matters because ASC code list updates affect Medicare contractor processing, system loading, and provider communication for the 2004 update cycle. Readers who manage ASC pricing, claims processing, or CMS file retrieval can use it to understand what operational changes were required and when they took effect.

Article Sections

1. General Information

   Background on the purpose of the memorandum and the scope of the ASC HCPCS update cycle for 2004. Includes the agencies and systems involved in distributing the update files.

2. Business Requirements

   Operational requirements for contractors regarding file retrieval, dissemination, and system handling. Also identifies responsibilities for Medicare contractors and related processing entities.

3. Supporting Information and Possible Design Considerations

   Supplemental implementation notes, interface considerations, and administrative details related to system loading and reporting impact.

4. Attachment A - ASC List of Approved Procedures HCPCS Code Changes for January 1, 2004

   The ASC procedure list update for the 2004 cycle, including the specific HCPCS/CPT code changes and payment group assignments referenced by the memorandum.

5. Attachment B - ASC Record Layout

   The file layout used for the 1/1/2004 update, including the record fields and positions needed to interpret the ASC data file.

6. Attachment C - Instructions for Receiving 2004 Ambulatory Surgical Center (ASC) HCPCS Code Changes via CMS' Mainframe Telecommunications System

   Transmission and file-retrieval instructions for receiving the ASC code update files through CMS systems. Includes job-control setup, parameter placeholders, and operational timing guidance.