Here is how the Medicare payments are expected to shift for the top 10 ASC procedures, according to the report:
|
CPT code |
Description |
Estimated 2022 payment |
Estimated 2023 payment |
Estimated 2023 change |
|
66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) |
$1,196 |
$1,244 |
4 percent |
|
63685 |
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling |
$300 |
$303 |
1 percent |
|
45380 |
Colonoscopy and biopsy |
$235 |
$247 |
5 percent |
|
45385 |
Colonoscopy with lesion removal |
$191 |
$201 |
5 percent |
|
27447 |
Total knee arthroplasty |
$182 |
$189 |
4 percent |
|
63650 |
Implant neuroelectrodes |
$174 |
$188 |
8 percent |
|
43239 |
Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope |
$160 |
$165 |
3 percent |
|
64483 |
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance |
$106 |
$110 |
4 percent |
|
66991 |
Noncomplex cataract removal with insertion of aqueous drainage system |
$98 |
$99 |
1 percent |
|
645590 |
Insertion or replacement of peripheral or gastric neurostimulator pulse |
$95 |
$100 |
5 percent |
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.