“We thank CMS for heeding our request to move additional surgical procedures — including total shoulder arthroplasty — onto the ASC payable list,” Ambulatory Surgery Center Association CEO Bill Prentice said in a Nov. 2 news release. “Doing so benefits both Medicare beneficiaries, who now have a lower cost choice for the care they need, and the Medicare program itself, which will save millions of dollars as volume moves to the high-quality surgery center site of service.”
ASC leaders were concerned after CMS released its proposed rule in July, adding only 26 dental codes to the ASC-payable list.
Joseph D’Agostino, administrator at Snellville, Ga.-based Advanced Surgery Center Perimeter and Gwinnett Advanced Surgery Center, told Becker’s the proposal was a “missed chance at significantly reducing Medicare costs.”
Here are the 11 additional surgical codes:
- CPT Code 21194: Reconstruction of lower jaw with graft
- CPT Code 21195: Reconstruction of lower jaw without fixation
- CPT Code 23470: Reconstruction of shoulder joint
- CPT Code 23472: Reconstruction of shoulder joint
- CPT Code 27006: Incision of hip tendons
- CPT Code 27702: Reconstruction of ankle joint
- CPT Code 29868: Meniscal transplant knee with scope
- CPT Code 33289: TCAT implantation of wireless pulmonary artery pressure sensor
- CPT Code 37192: Insertion of intravascular vena cava filter
- CPT Code 60260: Repeat thyroid surgery
- CPT Code C9734: Ultrasound ablation/therapeutic intervention, other than uterine leiomyomata
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.