Medicare's 2010 ASC Payments: Rates and Policies
2010 ASC RATES HAVE CHANGED
ASC 2010 Medicare payment rates have changed slightly due to changes to hospital outpatient and physician rates made by the health reform legislation enacted recently by the US Congress. Rates for both surgical procedures and ancillary services are affected. Read more about the change here. Download a comparison of prior and revised rates.
The resources to the right have been updated to reflect the change.
2010 — ASC Payments
Medicare pays ASCs a facility fee intended to cover the cost of providing surgical procedure. Each year, the Center's for Medicare and Medicaid Services (CMS) releases the rates ASCs will be paid for the following year. This page provides resources designed to enable ASCs to understand the impact of the 2010 payment rates.
No Quality Reporting in 2010
Medicare has once again delayed requiring ASCs to report quality data. Therefore ASCs will not be required by Medicare to report quality data in 2010. It is however expected that Medicare will require quality reporting in the future. A great way for ASCs to prepare for quality reporting is to participate in the ASC Association's outcomes monitoring project.
A detailed analysis of the 2010 rates is available from the ASC Association. Order yours today!
Listen to a special hour-long web-conference by ASC Association President Kathy Bryant on the 2010 rates. Purchase a pre-recorded version of this webinar for a limited time.
Not yet an ASC Association Member? JOIN TODAY!
Back to the Medicare Main Page 
Go to the 2011 Medicare Payment Page
Resources from the ASC Association
Download the 2010 Medicare Payment Rule
2010 Medicare Rate Calculator
This calculator shows you your local payment rates for 2010. Simply look up your local wage index from the easy to use chart and type it into the calculator and the calculator does the rest.
2010 Separately Payable Procedures
This document provides the list of procedures that are payable in an ASC in 2010 and for which there is a separate payment made. The HCPCS code and the 2010 national ASC rate are provided. This list does not include packaged procedures.
2010 Packaged Procedures
This chart lists the procedures that are on the 2010 ASC list, but for which there are no separate payments because payments for these packaged procedures are included in the payments made for other procedures.
2010 ASC List Additions and Deletions
This chart shows the ASC list additions and deletions for 2010. Their HCPCS code and their 2010 national ASC payment rate (for additions) and their 2009 national ASC payment rate (for deletions) are provided as well as the reason for the addition or deletion.
2010 Ancillary Services
This chart provides the list of covered ancillary services for 2010. ASCs may bill for ancillary services when provided in conjunction with covered surgical procedures.
2010 Device Intensive Procedures
This chart lists the procedures classified as device intensive in 2010 and the 2010 ASC payment rate. The chart also includes whether or not they are classified as device intensive for the first time. In addition, procedures that will no longer be device intensive are listed.
2010 Office Based Procedures
This chart lists the procedures classified as office based for 2010, their 2010 payment rates, and whether the rates are based on the hospital outpatient department rates or on the physician's practice expense rates.
2010 Multiple-Procedure Discounting Exempt
This document lists the procedures that are exempt from multiple-procedure discounting in 2010.
2010 NTIOL
Medicare provides an additional $50 payment for certain NTIOLs. The following chart provides information on the lenses eligible for an additional $50 payment from Medicare in 2010.
