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Services Allowed in an Ambulatory Surgical Center (ASC) Setting

Provider Administrative Policy

Claims Submission
Policy Date
October 2010
New/October 2010
Provider Type(s)
Ambulatory Surgery Centers  


Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts


Services Allowed in an Ambulatory Surgical Center (ASC) Setting

Blue Cross of Idaho follows Centers for Medicare & Medicaid Services' (CMS) standards to identify which outpatient surgeries and procedures can be appropriately provided in an Ambulatory Surgery Center (ASC) setting. We may not provide coverage for services provided by the ASC outside the CMS list of approved ASC procedures.

For a complete list of approved procedures, please refer to CMS' ASC information center at:

Please refer to PAP241 for prior authorization requirements.

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