AHA Coding Clinic® for HCPCS - 2023 Quarter 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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Article Overview
This article explains a July 2023 Medicare Ambulatory Surgical Center payment system update issued by the Centers for Medicare and Medicaid Services. It is aimed at facility coders, ASC billing staff, and reimbursement professionals who need to understand which procedures are affected by the update and how the change relates to device offset payment policy. The discussion focuses on CMS guidance, the ASC setting, and the procedure codes impacted by the change.
Why This Topic Matters
Updates to ASC payment policy can affect claim handling, device offset treatment, and payment accuracy for procedures performed in the ambulatory surgical center setting. Knowing which codes are addressed in the CMS update helps billing and coding teams review their workflows and stay aligned with current Medicare guidance.
What You Will Learn
- What the July 2023 ASC payment system update addresses
- Which general type of CMS policy change is being described
- How the article relates to ASC billing and device offset reporting
- Which procedure codes are discussed in the update
Who Should Read This
- ASC facility coders
- Medical billing staff
- Reimbursement specialists
- Revenue cycle teams
- Medicare compliance staff
Codes Discussed
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