Ambulatory Surgical Center Payment System: July 2023 Update - Revised

Related CR Release Date: July 5, 2023, Revised
Effective Date: July 1, 2023
Implementation Date: July 3, 2023
MLN Matters Number: MM13216
Related Change Request (CR) Number: CR 13216
Related CR Transmittal Number: R12122CP

Note: CMS changed the number of separately payable drugs in Section 5.a to 18 to agree with change for HCPCS J9322 in Table 3 of CR 13216. Substantive changes are in dark red on page 3.

CR 13216 tells you about:

  • New drug, biological and procedure codes
  • An ASC Payment Indicator (PI) correction for CPT code 0698T
  • Additional skin substitute products  

Make sure your billing staff knows about payment system updates.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13216.

Last Updated Jul 13 , 2023