US · guidance
CMS Pub. 100-02, ch. 15, § 260.5.1
Nature and Applicability of ASC List
The ASC list of covered surgical procedures indicates procedures that are covered and
may be paid for if performed in the ASC setting. There is no requirement that the
covered surgical procedures be performed only in ASCs. The decision regarding the
most appropriate care setting for a given surgical procedure is made by the physician
based on the beneficiary’s individual clinical needs and preferences. Also, all the general
coverage rules requiring that any procedure be reasonable and necessary for the
beneficiary are applicable to ASC services in the same manner as all other covered
services.
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
ea5362a0a7dd4d9f115e853bd84896d9f98d6e41bfa2af0f86b86bd863c00aea
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