TABLE #2

HCFA's Proposed ASC Codes

CPT Code Description

Current ASC Group(1)
Current Payment(1) Proposed APC(2) APC Group Definition(2) Proposed APC Payment(2)  Reimbursment Impact
56356 Hysteroscopy; surgical; with endometrial ablation (any method)

4

$595

550
Surgical Hysteroscopy $610 $15
52601 Transurethral electrosurgical resection of the prostate, including control of postoperative bleeding, complete (TURP)

4

$595

524
Level IV cystourethroscopy and other genitourinary procedures $1,131  $536
53850 Transurethral destruction of prostate tissue; by microwave thermotherapy

--

--

524
Level IV cystourethroscopy and other genitourinary procedures $1,131  $1131
53852 Transurethral destruction of prostate tissue; by radiofrequency thermotherapy

--

--

524
Level IV cystourethroscopy and other genitourinary procedures $1,131  $1131
Sources:
1 CCH Medicare and Medicaid Guide, ASC Coverage List, pp. 29567 and 29571.
2 Federal Register, Vol. 63, No. 113, June 12, 1998, pp. 32380-32336 and 32383

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