The Centers for Medicare & Medicaid Services (CMS) has asked for input on any procedures that should be added to its ASC-payable list for 2020. Please help ASCA advocate for the expansion of the list of procedures that CMS considers clinically appropriate for ASCs to provide to Medicare beneficiaries by answering the questions below.

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 which will generally keep a code off of the ASC-payable list.

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. 

Question Title

* 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.

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 6. What payers currently reimburse for this procedure?

Question Title

* 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?

Question Title

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

T