Ambulatory Surgical Center (ASC) Facility: Services Reimbursed Separately


A single payment is made to an ASC which includes all "facility services" furnished by the ASC in connection with a covered procedure. However, a number of items and services covered under Medicare that may be furnished in an ASC are not considered facility services. Separate payment may be made for these services, which includes:
  • Professional physician and anesthesia services
  • Durable medical equipment (DME) for use in patients' homes
  • Prosthetic devices (includes implants) — except intraocular lenses (IOLs)
  • Ambulance services
  • Artificial legs, arms and eyes
  • Services furnished by an independent laboratory
  • Corneal tissue handling charge

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Last Updated: 05/29/2020