Help ASCA advocate for the expansion of the Centers for Medicare & Medicaid Services’ (CMS) ASC Covered Procedures List (ASC-CPL) by completing a brief survey. The ASC-CPL contains codes that CMS considers clinically appropriate for ASCs to provide to Medicare beneficiaries.

You should complete one survey for each procedure you would like added. In order for ASCA to advocate for specific procedures, we must have answers for every question under #7. These are the exclusionary criteria that will generally keep a code off of the ASC-CPL.

Please provide contact information if you are willing to answer any follow-up questions staff may have, including requests for outcomes data. The more information we have increases the likelihood of success. Responses will be kept strictly confidential. 

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* 1. What is the CPT code of the procedure you would like added? Please enter only one CPT code per survey and complete one survey for each procedure you would like added. For example, if you would like to see three procedures added, please complete three surveys.

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* 2. How long have you been doing this procedure at your ASC?

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* 3. How many times did your ASC perform this procedure in the past 12 months?

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* 4. What is the age of the oldest patient who has had this procedure done at your ASC?

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* 5. In the past 12 months, how many times was this procedure performed on a patient who was 60 or older?

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* 6. What payers currently reimburse for this procedure?

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* 7. Does performing this procedure . . .

  Yes No
(A) require active medical monitoring and care at midnight following the procedure?
(B) generally result in extensive blood loss?
(C) require major or prolonged invasion of body cavities?
(D) directly involve major blood vessels?
(E) involve care that is either emergent or life-threatening in nature?
(F) commonly require systemic thrombolytic therapy?

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* 8. Contact Information (will be kept confidential):

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