It appears that neither chemotherapy nor infusion services have ever been allowed in an ambulatory surgery center setting for Medicare. The Claims Processing Manual, chapter 14, section 10.1 describes â€śAn ASC for Medicare purposes is a distinct entity that operates exclusively for the purpose of furnishing outpatient surgical services to patients.â€ť
Infusion and chemotherapy do not qualify as â€śsurgical servicesâ€ť according to this description. The codes for these services are not included on the list of covered surgical procedures.
The complete lists of ASC covered surgical procedures and ASC covered ancillary services, the applicable payment indicators, payment rates for each covered surgical procedure and ancillary service before adjustments for regional wage variations, the wage adjusted payment rates, and wage indices are available on the CMS Web site at: http://www.cms.hhs.gov/ASCpayment/.
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hope this helps
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