tci Medicare Compliance & Reimbursement - 2013 Issue 24

Reader Question: Need ASC Coverage Resources? Look Here

Question: I might be transferring to our hospital’s ASC location and want to learn more about coding in that setting. How can I find out which of the procedures our surgeons perform are covered by Medicare when performed in an ASC? Answer: Medicare posts the lists of allowed procedures for Ambulatory Surgical Center (ASC) payment at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/ASC-Regulations-and-Notices.html. Remember that Medicare pays the physician services separately from the ASC services. Addendum AA shows the surgical procedures Medicare will pay the ASC for when performed in the ASC setting. For instance, you’ll find breast lesion excision...

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