Clarification of Billing Requirement for Ancillary Services Performed in the Ambulatory Surgical Center (ASC) by Entities Other Than ASCs
This CR will clarify a requirement originally created in CR 5680 and to
ensure consistency among contractors. The requirement (5680.11.1) informed contractors to deny the
technical component for all ancillary services appearing on the ASCFS when billed by specialties other than
ASCs (specialty 49) when place of service is ASC (POS = 24). Since the technical component is also
included in the global fee, we want to make sure the global payment is also being denied. The professional
component shall be the only payment allowed for ancillary codes billed by physicians when the POS is
ASC.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 06, 2010
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