42 C.F.R. Subpart A—General Provisions and Definitions
Title 42 - Public Health
(a) Statutory basis. (1) Section 1832(a)(2)(F)(i) of the Act provides for Medicare Part B coverage of facility services furnished in connection with surgical procedures specified by the Secretary under section 1833(i)(1) of the Act. (2) Section 1833(i)(1)(A) of the Act requires the Secretary to specify the surgical procedures that can be performed safely on an ambulatory basis in an ambulatory surgical center, or a hospital outpatient department. (3) Section 1833(i) (2)(A) and (3) specify the amounts to be paid for facility services furnished in connection with the specified surgical procedures when they are performed, respectively, in an ASC, or in a hospital outpatient department. (b) Scope. This part sets forth— (1) The conditions that an ASC must meet in order to participate in the Medicare program; (2) The scope of covered services; and (3) The conditions for Medicare payment for facility services. [56 FR 8843, Mar. 1, 1991; 56 FR 23022, May 20, 1991] As used in this part: Ambulatory surgical center or ASC means any distinct entity that operates exclusively for the purpose of providing surgical services to patients not requiring hospitalization, has an agreement with CMS to participate in Medicare as an ASC, and meets the conditions set forth in subparts B and C of this part. ASC services means facility services that are furnished in an ASC. Covered surgical procedures means those surgical and other medical procedures that meet the criteria specified in §416.65 and are published by CMS in the Facility services means services that are furnished in connection with covered surgical procedures performed in an ASC, or in a hospital on an outpatient basis. [56 FR 8843, Mar. 1, 1991; 56 FR 23022, May 20, 1991]
Title 42: Public Health
PART 416—AMBULATORY SURGICAL SERVICES
Subpart A—General Provisions and Definitions
§ 416.1 Basis and scope.
§ 416.2 Definitions.
