Coverage, Scope of ASC Services, and Prospective Payment System for ASC Services Furnished on or After January 1, 2008

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Ambulatory Surgical Services
  7. Coverage, Scope of ASC Services, and Prospective Payment System for ASC Services Furnished on or After January 1, 2008

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Section
416.160

Basis and scope.

Section
416.161

Applicability of this subpart.

Section
416.163

General rules.

Section
416.164

Scope of ASC services.

Section
416.166

Covered surgical procedures.

Section
416.167

Basis of payment.

Section
416.171

Determination of payment rates for ASC services.

Section
416.172

Adjustments to national payment rates.

Section
416.173

Publication of revised payment methodologies and payment rates.

Section
416.174

Payment for non-opioid pain management drugs and biologicals that function as supplies in surgical procedures.

Section
416.178

Limitations on administrative and judicial review.

Section
416.179

Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received.