Annual Ambulatory Surgery Center Update

New separately reimbursable CPT codes in the ambulatory surgery setting

Effective with date of service Jan. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) has identified the following new CPT codes as separately reimbursable in the ambulatory surgery setting:    

27278 33276 33278 33279 33280 33281 33287 33288
52284 58580 64596 64598        

Providers are now able to resubmit NC Medicaid Direct claims for services rendered on or after Jan. 1, 2024. Providers are advised to contact their contracted managed care plans for assistance regarding the submission process for ambulatory surgery claims for NC Medicaid Managed Care. 


NC Tracks Call Center, 800-688-6696

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