CMS made 22 surgical procedure codes newly payable in ASCs through its 2026 quarterly updates, according to an analysis of the agency’s April, July and October ASC payment updates. The agency also made four codes nonpayable and replaced one.
Here are the newly payable codes, with their October 2026 national payment rates.
April 1
Hypoglossal nerve neurostimulators (six codes, retroactive to Jan. 1):
- C8007: Open implantation of a hypoglossal nerve neurostimulator array and pulse generator: $27,562.80
- C8011: Open implantation of hypoglossal nerve electrode array(s) and receiver, including external power source: $27,562.80
- C8008: Revision or replacement of a hypoglossal nerve neurostimulator array: $7,477.20
- C8012: Revision or replacement of hypoglossal nerve electrode array(s) and receiver: $7,477.20
- C8009: Removal of a hypoglossal nerve neurostimulator array and pulse generator: $2,177.48
- C8013: Removal of hypoglossal nerve electrode array(s) and receiver: $2,177.48
Prostatic urethral scaffold (Zenflow Spring device, FDA approved Dec. 11, 2025):
- 0941T: Insertion of a prostatic urethral scaffold: $7,307.39
- 0942T: Removal and replacement of a prostatic urethral scaffold: $7,307.39
- 0943T: Removal of a prostatic urethral scaffold: $1,001.95
Carotid filter:
- C8010: Permanent carotid artery filter placement: $8,509.13 at the time. CMS deleted the code Oct. 1 and replaced it with 1091T, which describes the same procedure.
July 1
- 0730T: Femtosecond laser trabeculotomy: $2,786.88. The code dates to 2022 and was previously nonpayable in ASCs.
- C8014: Cystourethroscopy with lithotripsy using a suction-enabled ureteral access sheath: $3,451.70
Oct. 1
- 1091T: Permanent carotid artery filter placement: $11,912.65
- 1092T: Open knee cartilage scaffold implant: $4,682.29
- 1093T: Arthroscopic knee cartilage or osteochondral scaffold implant: $2,084.06
- 1081T: Microvascular connection of a lymph node to a vein: $2,848.20
- 1069T: Mechanical cryocompression of the hands and feet, including supplies, measurement and education: $2,729.66
- 1084T: Allograft scaffold implant in the suprachoroidal space of the eye: $2,203.87
- 1054T: Ultrasonic propulsion of residual stone fragments after lithotripsy: $1,001.95
- 1056T: Cochlear infusion of a therapeutic agent: $659.17
- 1070T: Mechanical cryocompression device placement for the hands and feet: $310.63
- 1062T: Transcervical intratubal artificial insemination: $166.92
Made nonpayable
- 1013T, 1014T and 1015T, for lower esophageal sphincter neurostimulator procedures, became nonpayable in April, retroactive to Jan. 1. CMS said the device lacks FDA approval.
- 0996T, for capsular bag prosthesis insertion, became nonpayable in July, retroactive to Jan. 1.
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