What is ASC payment indicator A2?

CY 2021 Ambulatory Surgical Center (ASC) Payment Indicator Definitions. A2:Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. B5:Alternative code may be available; no payment made. C5:Inpatient surgical procedure under OPPS; no payment made.

What does the ASC payment indicator D5 mean?

Deleted/discontinued code; no payment made
Payment Indicator Definition D5 Deleted/discontinued code; no payment made.

How is Medicare ASC payment calculated?

The standard ASC payment for most ASC covered surgical procedures is calculated by multiplying the ASC conversion factor ($41.401 for CY 2008) by the ASC relative payment weight (set based on the OPPS relative payment weight) for each separately payable procedure.

What is a payment indicator?

The Payment Status Indicator Identifies whether the service described by the HCPCS code is paid under the OPPS and if so, whether payment is made separately or packaged.

What does payment indicator G2 mean?

Non office-based surgical procedure
Payment Indicator Definition G2 Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. H2 Brachytherapy source paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.

What is a status indicator J1?

The J1 status indicator can be viewed as the outpatient version of the diagnosis-related group (DRG) payment system, with one payment to cover all services provided during an outpatient encounter.

How are ASC reimbursed?

Disparate Reimbursement Policies For Hospitals And ASCs CMS uses the Hospital Outpatient Prospective Payment System to reimburse physicians for surgeries performed at a hospital outpatient department (HOPD), and the Medicare Physician Fee Schedule for surgeries at an ASC.

What does ASC payment indicator J8 mean?

Device-intensive procedure
J8. Device-intensive procedure; paid at adjusted rate. K2. Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.

What is ASC?

ASC is an overarching term used to describe autism, Asperger’s Syndrome, pathological demand avoidance (PDA) and pervasive developmental disorder (PDD). It is a lifelong developmental disability, which affects how a person communicates, relates to other people and makes sense of the world around them.

What does ASC payment indicator P3 mean?

Office-based surgical procedure added to ASC
P3. Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. R2. Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. Z2.

What does ASC payment indicator N1 mean?

N1. Packaged service/item; no separate payment made. P2. Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight.