July 2019 Alabama 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
01
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Alabama
Baldwin County, AL
Barbour County, AL
Bullock County, AL
Butler County, AL
Chambers County, AL
Cherokee County, AL
Choctaw County, AL
Clarke County, AL
Clay County, AL
Cleburne County, AL
Coffee County, AL
Conecuh County, AL
Coosa County, AL
Covington County, AL
Crenshaw County, AL
Cullman County, AL
Dale County, AL
Dallas County, AL
De Kalb County, AL
Escambia County, AL
Fayette County, AL
Franklin County, AL
Jackson County, AL
Lamar County, AL
Macon County, AL
Marengo County, AL
Marion County, AL
Marshall County, AL
Monroe County, AL
Perry County, AL
Pickens County, AL
Pike County, AL
Randolph County, AL
Statewide County, AL
Sumter County, AL
Talladega County, AL
Tallapoosa County, AL
Washington County, AL
Wilcox County, AL
Winston County, AL
11500
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Calhoun County, AL
12220
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Lee County, AL
13820
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Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
Shelby County, AL
St. Clair County, AL
Walker County, AL
17980
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Russell County, AL
19300
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Daphne-Fairhope-Foley, AL
Baldwin County, AL
19460
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Lawrence County, AL
Morgan County, AL
20020
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Geneva County, AL
Henry County, AL
Houston County, AL
22520
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Colbert County, AL
Lauderdale County, AL
23460
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Etowah County, AL
26620
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Limestone County, AL
Madison County, AL
33660
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Mobile County, AL
33860
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Autauga County, AL
Elmore County, AL
Lowndes County, AL
Montgomery County, AL
46220
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Greene County, AL
Hale County, AL
Tuscaloosa County, AL