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Medicare’s ASC list effective July 1

Ambulatory Surgery Reimbursement Update, June 28, 2005

The Centers for Medicare & Medicaid Services (CMS) has issued some technical corrections to the Interim Final Rule on the ASC list of Medicare-covered procedures, changing the effective date of the updated list to July 1, 2005 and adding a code to the list, according to the Federated Ambulatory Surgical Association (FASA).

The added CPT code is 55873 and is a group 9 procedure. Code 55873 indicates cryosurgical ablation of the prostate (includes ultrasonic guidance for interstitial cryosurgical probe placement).

The updated list has 66 new codes added and five codes deleted. The new CPT codes included in the list will allow an ASC to receive a facility fee for each of the added procedures. ASCs can no longer collect the fee for the five codes deleted from the list.

To view the updated list effective July 1, click here.

To view the changes, click here.

The new list was published in the May 4 Federal Register. To view the rule, click here. The deletions are listed on p. 41. The list of additions begins on p. 90.

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