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. View the ASC procedures and payment amounts grouped by the Core-Based Statistical Area (CBSA) code. See the 'Urban Area/State Code' and be sure to select the appropriate CBSA to view fees for your facility.

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2017

Effective October 1, 2017 - For dates of service on/after 10/1/17 - CMS Change Request (CR)10259

Effective July 1, 2017 - For dates of service on/after 7/1/17 - CMS Change Request (CR)10138

Effective January 1, 2017 - For dates of service on/after 1/1/17 – CMS Change Request (CR)9923

2016

Effective October 1, 2016 - For dates of service on/after 10/1/16 – CMS CR9773

Effective July 1, 2016 - For dates of service on/after 7/1/16 – CMS CR9668

Effective January 1, 2016 - For dates of service on/after 1/1/16 – CMS CR9484

2015

Effective October 1, 2015 - For dates of service on/after 10/1/15 and processed on/after 10/1/15 - CMS CR9310

  • All States [Excel] - Contains State Specific Tabs

Effective July 1, 2015

Effective January 1, 2015 - June 30, 2015

Resources

 

Last Updated Sep 27, 2017