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Payment Limitation for Certain Facility Healthcare Common Procedure Coding System (HCPCS) Codes Performed in Ambulatory Surgical Centers [ASC]

The purpose of this Change Request (CR) is to implement the changes that are necessary to operationalize a proposed payment cap for certain facility HCPCS Codes in the ASC setting effective January 1, 2025.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 05, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.