2023 Ambulatory Surgical Center Drug Pricing Updates

Published 10/16/2024

Ambulatory surgical center (ASC) services are those surgical procedures that are identified by the Centers for Medicare & Medicaid Services (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.

Procedure Indicator: S = Surgical Procedure; A = Ancillary Service, C = Carrier Priced

* Fee listed is CMS' ASC Drug Fee. Please see Palmetto GBA's billing requirements titled "Hemophilia Clotting Factors: Submitting the Number of Units." Palmetto GBA adjusts the fees for certain Hemophilia procedure codes to accommodate special billing units. Please refer to the above article to determine which codes are impacted by the special billing requirements.

Effective Date File Type
January 1, 2023
(revised April 1, 2023)
ASC_Drug_Fee_Schedule_JAN_2023_Revised_04-2023 (XLSX)
April 1, 2023
(revised April 1, 2024)
ASC_Drug_Fee_Schedule_Apr_2023_Revised_04-2024 (XLSX)
July 1, 2023
(revised April 1, 2024)
ASC_Drug_Fee_Schedule_Jul_2023_Revised_04-2024 (XLSX)
October 1, 2023
(revised October 7, 2024)
ASC_Drug_Fee_Schedule_Oct_2023_REV_10-2024 (XLSX)

Was this article helpful?

Palmetto GBA Web Chat

Sounds: OnSave Transcript
Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
Your InformationClear
1()-x
Inquiry InformationClear
Select your stateClear
Select your stateClear
Provider InformationClear
Patient InformationClear
Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
//
Appeal InformationClear
//
//
Claim InformationClear
//
//
Denial InformationClear
//
//
Rejection InformationClear
DDE InformationClear
Restore InformationClear
//
Prior Authorization InformationClear
//
//
Application InformationClear
Product InformationClear
OtherClear
Additional InformationClear

Are you sure you want to end your chat?

Keep ChattingClose ChatSave Transcript & Close

Webchat

Our dedicated webchat representatives are online to assist you with your general inquiries, provider enrollment, EDI, eServices and more in real-time.