Data are from the Medicare Ambulatory Surgical Center Payment System Limited Data Set.
are used for billing Medicare & Medicaid patients — The
Healthcare Common Procedure Coding System
(HCPCS) is a
collection of codes that represent procedures, supplies, products and
services which may be provided to Medicare beneficiaries and to individuals
enrolled in private health insurance programs
A description of each HCPCS code is provided.
HCPCS codes are organized by body systems that are sometimes
referred to as a subsections of surgical and medical sections.
- Procedure Type
Procedures can be grouped into clinically coherent categories in
order to facilitate analysis.
- Allowed Charges
Allowed Charges represent the amounts used to calculate payment for
billed procedures as determined by the Medicare contractor. For ASCs,
allowed charges typically are the total wage-adjusted payment for a service
in a specific geographic area, and include both the Medicare program
payment and beneficiary copayment. Allowed charges values are represented
in whole dollars with no cents.
- Allowed Services
Allowed Services represent the number of procedures that the
Medicare contractor allowed the supplier to bill. This number reflects
total services and does not reflect application of a multiple procedure
discount. This is a count of service units provided, not cases or
patients. Multiple units of service can be provided to a single patient
during a visit.