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June 26, 2008

July 2008 Update to the ASC Payment System and Summary of Payment Policy Changes

Effective Date: July 1, 2008
Implementation Date: July 7, 2008

Summary

Key points in change request 6095 includes:
Billing for and payment of drugs and biologicals
Payment for brachytherapy sources
Category III CPT codes added to the list of payable procedures
In addition, this change request amends the ASC fee schedule payment file for selected office-based procedures and radiology services subject to payment at the lesser of the nonfacility practice expense (PE) relative value units (RVU) amounts under the Medicare physician fee schedule (MPFS).
Here is the link to the MLN Matters article MM6095 external pdf.
Source: CMS MLN Matters Article MM6095
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