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NC Department of Health and Human Services
NC Division of
Medical Assistance

Ambulatory Surgical Center Services

DMA Clinical Policy and Programs
Phone Number 919-855-4260
Fax 919-733-2796

An Ambulatory Surgical Center, or ASC, is any distinct entity that operates exclusively for the purpose of providing surgical services to recipients not requiring hospitalization.

Updates to the list of procedures that are covered when provided in an ASC are published in the general Medicaid bulletin.  The list of approved procedures is based on the list of procedure codes published in the Code of Federal Regulations (42 CFR 416).

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

Ambulatory Surgical Center (CPT/HCPCS) Fee Schedules Ready NC Connect NC
November 5, 2009