Ambulatory surgical center (ASC) payment indicators (PI) for calendar year (CY) 2023

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Home ► Ambulatory surgical center ► Ambulatory surgical center (ASC) payment indicators (PI) for calendar year (CY) 2023

Last Modified: 5/3/2024 Location: FL, PR, USVI Business: Part B

Ambulatory surgical center (ASC) payment indicators (PI) for calendar year (CY) 2023

Here are the final ASC PIs for services provided for January 1-December 31, 2023. Use these in conjunction with our fee lookup application.

Indicator	Definition
A2	Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.
B5	Alternative code may be available; no payment made
D5	Deleted/discontinued code; no payment made.
F4	Corneal tissue acquisition, hepatitis B vaccine; paid at reasonable cost. • Note: If an invoice is not included for corneal tissue acquisition, the claim may be denied.
G2	Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight.
H2	Brachytherapy source paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.
J7	OPPS pass-through device paid separately when provided integral to a surgical procedure on ASC list; payment contractor-priced.
J8	Device-intensive procedure; paid at adjusted rate.
K2	Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.
K5	Items, codes, and services for which pricing information and claims data are not available. No payment made.
K7	Unclassified drugs and biologicals; payment contractor-priced.
L1	Influenza vaccine; pneumococcal vaccine. Packaged item/service; no separate payment made.
L6	New Technology Intraocular Lens (NTIOL); special payment.
N1	Packaged service/item; no separate payment made.
P2	Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight.
P3	Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.
R2	Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight.
Z2	Radiology or diagnostic service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight.
Z3	Radiology or diagnostic service paid separately when provided integral to a surgical procedure on ASC list; payment based on MPFS nonfacility PE RVUs.

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