Wiki Asc vs opps

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Can anyone help me understand why a procedure that can be done in a doctor's office would be covered in a hospital out-patient facility, but not in an ASC? I am specifically looking at code 65778 which has an ASC payment indicator of N1 (packaged). But it is allowed in the OPPS. I'm confused.

Thank you,
Karen Hill, CPC, CPMA:confused:
 
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