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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.