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| Ambulatory Surgery Coding & Reimbursement Insider |
| June 2008 |
| Offset lower phase-in payments with enhanced service mix |
| For procedures that have significant device components, but whose devices may not be so expensive as to qualify for device-intensive status, the phase-in policy for the new ASC payment system compromises their profitability-and possibly threatens their viability in the short term.
For example, a physician performs a glaucoma procedure aqueous shunt to extraocular reservoir (code 66180) because medical treatment for the glaucoma patient is no longer effective and the standard trabeculectomy is not indicated or has failed. Due to the patient's condition, the physician inserts a shunt to relieve intraocular pressure. |
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