US · guidance
CMS Pub. 100-02, ch. 15, § 260
Ambulatory Surgical Center Services
Facility services furnished by ambulatory surgical centers (ASCs) in connection with
certain surgical procedures are covered under Part B. To receive coverage of and
payment for its services under this provision, a facility must be certified as meeting the
requirements for an ASC and enter into a written agreement with CMS. Medicare
periodically updates the list of covered procedures and related payment amounts through
release of regulations and change requests. The ASC must accept Medicare’s payment
for such procedures as payment in full with respect to those services defined as ASC
facility services.
Where services are performed in an ASC, the physician and others who perform covered
services may also be paid for his/her professional services; however, the “professional”
rate is then adjusted since the ASC incurs the facility costs.
History
(Rev. 77; Issued: 08-29-07; Effective: 01-01-08; Implementation: 01-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
953fb3baac4872514a6986cbc7ad101f4809894ec883d34d1ca330fce8f162e0
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