Ambulatory Surgical Center (ASC) - JE Part B
ASC Payment Rates
ASC services are those surgical procedures that are identified by 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.
ASC Fee Schedules
ASC Addenda Files
ASC services have a separate indicator list that includes if the service is payable, subject to multiple procedure reductions, and other information. View CMS' - ASC Payment Rates - Addenda for additional details.
Resources
- CMS Change Request (CR) 12553 - Ambulatory Surgical Center (ASC) Payment System
- CMS Ambulatory Surgical Center (ASC) Payment - View the complete lists of ASC covered surgical procedures and ASC covered ancillary services, the applicable payment indicators, payment rates for each covered surgical procedure and ancillary service before adjustment for regional wage variations, the wage adjusted payment rates, and wage indices
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 14, Sections 30 and 40 - Instructions
Last Updated Jan 16 , 2025
