Wiki Multiple Surgery Codes for ASCs

[jans2765]

Does anyone know where I could find a document that CMS puts forth that shows whether a code is deemed "S" (surgical code, subject to multiple surgery reduction) or deemed "F" (facility code, not subject to multiple surgery reduction)? I like to have these things in writing when possible. I haven't had luck scouring through the CMS website. A link would help, if possible.

Thanks for any help!

Janel Bieniek,
RHIT, CPB

 

[stephantong]

Hi Janel!

You can check if a code is subject to multiple procedure discounting by downloading the CMS ASC payment rate file. I have linked it below.
Download the file that corresponds with the date of service you're working on. Open the Excel spreadsheet that's in the Zip file and the discounting indicator is in column D. Y means "Yes" and N means "No".

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/11_Addenda_Updates.html

Hope this helps!