Ambulatory Surgical Center

The 2024 ambulatory surgical center (ASC) drug fee schedules are listed in this article.

The 2025 ambulatory surgical center (ASC) drug fee schedules are listed in this article.

The ambulatory surgical center (ASC) drug fee schedules are now available.

Physicians/practitioners are not to use POS code 11 (office) for ASC based services unless the physician has an office at the same physical location of the ASC, which meets all other requirements for operating as a physician office at the same physical location as the ASC. Physicians and practitioners should review the full article and share with appropriate staff.

Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Drugs and devices qualifying for pass-through status include certain new drugs and biologicals, biosimilar drugs, and newly approved devices.

The CMS ASC Payment Indicators (PIs) listed in this article define the ASC Payment Indictors included in the Medicare ASC fee schedule.

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.

A single payment is made to an ASC, which includes all facility services furnished by the ASC in connection with a covered procedure.

ASC claims that involve a terminated surgery must be accompanied by an operative report with the required documentation.