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Wiki 23472 IPO List

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pinnaclephyserv

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Beachwood, OH
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I keep reading that we can perform 23472 in ASC, but Medicare is denying the procedure. I am confused.

Any input is helpful!
 
pinnaclephyserv said:
Not allowed in this type of setting.. When I check the fee schedule for ASC 23472 doesn't have a fee
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CPT code 23472 is not an inpatient-only procedure, but it is listed on Addendum EE of the ASC payment files - 'surgical procedures to be excluded from payment in ASCs for CY 2022'. So Medicare will not reimburse this to an ASC.

You can find the complete list here: ASC Payment Rates - Addenda | CMS
 
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