ASC Payment System: October 2025 Update

Related CR Release Date: September 22, 2025
MLN Matters Number: MM14246
Effective Date: October 1, 2025 
Related Change Request (CR) Number: CR 14246
Implementation Date: October 6, 2025 
Related CR Transmittal Number: R13429CP

CR 14246 tells you about:

  • New Hospital Outpatient Prospective Payment System (OPPS) device pass-through category payable in Ambulatory Surgical Centers (ASCs) 
  • New HCPCS code describing the insertion of a pleural-peritoneal shunt with intercostal pump chamber
  • Drug, biological, and radiopharmaceutical coding updates
  • Skin substitute products

Make sure your billing staff knows about these payment system updates effective October 1, 2025.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14246.

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