CMS will reimburse ASCs for four new procedures in 2023, according to a Jan. 23 report from VMG Health.
VMG Health's data was compiled using publicly available information, according to the report.
ASCs will now be reimbursed for these four procedures:
|
Code |
Procedure |
|
19307 |
Mastectomy, including axillary lymph nodes, excluding pectoralis major |
|
37193 |
Removal of intravascular vena cava filter, endovascular approach |
|
38531 |
Biopsy of excision of lymph node(s); open, inguinofemoral node(s) |
|
43774 |
Laparoscopy, surgical, gastric restrictive procedure |
The Ambulatory Surgery Center Association proposed the addition of 47 procedures to the 2023 list.
Bill Prentice, CEO of the ASCA, responded to CMS' decision in a Nov. 1 news release from the organization:
"CMS' decision to add only four new procedures to the ASC-CPL for 2023 after ASCA proposed 47 procedures that ASCs are performing safely and successfully for privately insured patients is a serious mistake and denies beneficiary access to high-value care," he said.