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Healing is Coming - February 2021 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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C ardiac surgery is the next frontier for same-day surgery. The movement of cardiovascular care from hospitals to freestanding surgery centers is being driven by reimbursement trends, for- ward-thinking facilities and the steady beat of progress. "Cardiology is another step in providing more surgical care on an outpatient basis for more patients, while saving the healthcare system a sig- nificant amount of money," says Bill Prentice, CEO of the Ambulatory Surgery Center Association. The fledging service line is packed with promise — and plenty of questions that need to be answered. What's the payment landscape? could be reimbursed by CMS were implantations of defibrillators and pacemakers — what cardiology pros call "device work." The 17 cardiac-specific ASC codes CMS added for 2019 focused exclusively on diagnostic cardiac catheterization procedures that physicians were already performing in HOPDs. These allowed ASCs to diagnose cardiac issues, but not yet perform "surgery-like" minimally invasive interventions. Six more cardiac ASC codes came online in 2020, this time adding minimally invasive procedures referred to as percutaneous coronary interventions (PCI), specifically placing stents and angioplasty. This year, 11 additional, more complex PCI procedures were added, including lower extremity intravascular lithotripsy and atherectomy. Mr. Prentice says CMS reimbursement for ASC- Before 2019, the only procedures for which ASCs 2 4 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 2 1 Joe Paone | Senior Associate Editor Cardiovascular Care Is the Next Big Thing Procedures are shifting to surgery centers, but adding the cases is not for the faint of heart. MESSAGE STENT In 2020, CMS began reimbursing ASCs for minimally invasive cardiac procedures such as stent placements.

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