Back to Insights and Updates for ProvidersJuly 2023

Changes to ambulatory surgical center payments

Tufts Health Plan Senior Care Options  |  Tufts Medicare Preferred HMO/PPO

Effective for dates of service beginning Sept. 1, 2023, CPT code 99070 (supplies and materials provided by the physician or other qualified healthcare professional) will no longer be separately reimbursed for ambulatory surgical centers (ASCs). After this date, reimbursement will be bundled into the ASC facility payment, which is in alignment with existing Medicare guidelines.

In accordance with Medicare, CPT code 99070 is considered a packaged service and not otherwise separately reimbursed.

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