July 2019 Tennessee Ambulatory Surgical Center (ASC) Fee Schedule Update

Ambulatory surgical center (ASC) services are those surgical procedures that are identified by the Centers for Medicare & Medicaid Services (CMS) on an annually updated ASC listing. The Medicare definition of covered facility services includes services that would be covered if furnished on an inpatient or outpatient basis in connection with a covered surgical procedure.

The fees listed are effective July 1, 2019, for dates of service on or after January 1, 2019, unless otherwise indicated. Revised fees are provided for CPT codes 29710, 51727, 70555, 70557, 74176, 74775, 79300, 79445, and 0308T, effective for dates of service January 1, 2019, and after. For suppliers who may have received incorrect payment may request adjustment of previously processed claims.  Fees are provided for new CPT codes 0548T, 0549T, 0550T, 0551T,and 0558T, effective for dates of service July 1, 2019, and after.

The table below lists the CBSA code to each "Urban Area/State Code." Select the appropriate link below to view the fees for your facility.

Procedure Indicator: S = Surgical Procedure; A = Ancillary Service, C = Carrier Priced

CBSA Code
Urban Area/State Code
44
(XLXS, 238 KB)
Tennessee
Bedford County, TN
Benton County, TN
Bledsoe County, TN
Campbell County, TN
Carroll County, TN
Claiborne County, TN
Clay County, TN
Cocke County, TN
Coffee County, TN
Crockett County, TN
Cumberland County, TN
Decatur County, TN
De Kalb County, TN
Dyer County, TN
Fentress County, TN
Franklin County, TN
Gibson County, TN
Giles County, TN
Greene County, TN
Grundy County, TN
Hancock County, TN
Hardeman County, TN
Hardin County, TN
Haywood County, TN
Henderson County, TN
Henry County, TN
Houston County, TN
Humphreys County, TN
Jackson County, TN
Johnson County, TN
Lake County, TN
Lauderdale County, TN
Lawrence County, TN
Lewis County, TN
Lincoln County, TN
McMinn County, TN
McNairy County, TN
Marshall County, TN
Maury County, TN
Meigs County, TN
Monroe County, TN
Moore County, TN
Morgan County, TN
Obion County, TN
Overton County, TN
Perry County, TN
Pickett County, TN
Putnam County, TN
Rhea County, TN
Roane County, TN
Scott County, TN
Sevier County, TN
Van Buren County, TN
Warren County, TN
Wayne County, TN
Weakley County, TN
White County, TN
16860
(XLXS, 238 KB)
Hamilton County, TN
Marion County, TN
Sequatchie County, TN
17300
(XLXS, 238 KB)
Montgomery County, TN
Stewart County, TN
17420
(XLXS, 238 KB)
Bradley County, TN
Polk County, TN
27180
(XLXS, 238 KB)
Chester County, TN
Madison County, TN
27740
(XLXS, 238 KB)
Johnson City, TN
Carter County, TN
Unicoi County, TN
Washington County, TN
28700
(XLXS, 238 KB)
Kingsport-Bristol-Bristol, TN-VA
Hawkins County, TN
Sullivan County, TN
Scott County, VA
Washington County, VA
Bristol City, VA
28940
(XLXS, 238 KB)
Anderson County, TN
Blount County, TN
Knox County, TN
Loudon County, TN
Union County, TN
32820
(XLXS, 238 KB)
Fayette County, TN
Shelby County, TN
Tipton County, TN
34100
(XLXS, 238 KB)
Grainger County, TN
Hamblen County, TN
Jefferson County, TN
34980
(XLXS, 238 KB)
Cannon County, TN
Cheatham County, TN
Davidson County, TN
Dickson County, TN
Hickman County, TN
Macon County, TN
Robertson County, TN
Rutherford County, TN
Smith County, TN
Sumner County, TN
Trousdale County, TN
Williamson County, TN
Wilson County, TN