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Printed Date: 9/22/2015
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
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Last Updated: 08/12/2019