AHA Coding Clinic® for HCPCS - 2023 Issue 3; For Your Information

Update to the ASC device offset from payment effective July 1, 2023

In the July 2023 Update of the Ambulatory Surgical Center (ASC) Payment System, (Change Request 13216), the Centers for Medicare and Medicaid Services has identified two additional existing procedure codes for which HCPCS Code C1747 should always be billed in the ASC setting and an offset should be taken. These CPT codes are 50080, Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones) and 50081, Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy...

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