The 2022 Hospital Outpatient Prospective Payment System and ASC Payment System finalized Nov. 2 removes 255 procedures from the ASC payable list. CMS moved the procedures to the ASC payable list in the 2021 Hospital Outpatient Prospective Payment System and ASC Payment System final rule, but then reversed its decision for 2022. "This final rule contains some modest improvements since the proposed rule, but we are disappointed that the agency finalized a decision to reduce beneficiary access to ASCs for a number of important procedures that were added just a year ago, despite CMS having little to no clinical data to use as a basis for removing them from our payable list," said Bill Prentice, Ambulatory Surgery Center Association CEO, in a statement. He went on to say, "We hope that we can work with the Biden administration in 2022 to make significant, constructive changes to the program so that more Medicare beneficiaries can get care in the ASC setting for the many additional procedures that can be safely performed in ASCs." Here is a list of the procedure codes that would be removed from the ASC payable list.   Code Long Descriptor 19307 Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle 20100 Exploration of penetrating wound (separate procedure); neck 20101 Exploration of penetrating wound (separate procedure); chest 20102 Exploration of penetrating wound (separate procedure); abdomen/flank/back 20660 Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) 21049 Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s]) 21172 Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) 21175 Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts) 21193 Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; without bone graft 21195 Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation 21256 Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) 21261 Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach 21263 Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement 21346 Open treatment of nasomaxillary complex fracture (lefort ii type); with wiring and/or local fixation 21385 Open treatment of orbital floor blowout fracture; transantral approach (caldwell-luc type operation) 21386 Open treatment of orbital floor blowout fracture; periorbital approach 21387 Open treatment of orbital floor blowout fracture; combined approach 21395 Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) 21408 Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) 21470 Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints 21601 Excision of chest wall tumor including rib(s) 21742 Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (nuss procedure), without thoracoscopy 21743 Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (nuss procedure), with thoracoscopy 22100 Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical 22101 Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic 23470 Arthroplasty, glenohumeral joint; hemiarthroplasty 23473 Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component 24150 Radical resection of tumor, shaft or distal humerus 24935 Stump elongation, upper extremity 25170 Radical resection of tumor, radius or ulna 25909 Amputation, forearm, through radius and ulna; re-amputation 27006 Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) 27027 Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral 27057 Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilateral 27179 Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (heyman type procedure) 27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck 27477 Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal 27485 Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) 27722 Repair of nonunion or malunion, tibia; with sliding graf 28360 Reconstruction, cleft foot 28805 Amputation, foot; transmetatarsal 29868 Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery 31292 Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall 31293 Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall 31294 Nasal/sinus endoscopy, surgical, with optic nerve decompression 31584 Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed 31587 Laryngoplasty, cricoid split, without graft placement 31600 Tracheostomy, planned (separate procedure); 31601 Tracheostomy, planned (separate procedure); younger than 2 years 31610 Tracheostomy, fenestration procedure with skin flaps 31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe 31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes 31785 Excision of tracheal tumor or carcinoma; cervical 32551 Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) 32560 Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) 32561 Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day 32562 Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day 32601 Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy 32604 Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy 32606 Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy 32607 Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral 32608 Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral 32609 Thoracoscopy; with biopsy(ies) of pleura 33244 Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction 33272 Removal of subcutaneous implantable defibrillator electrode 34101 Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision 34111 Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision 34201 Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision 34203 Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision 34421 Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision 34471 Thrombectomy, direct or with catheter; subclavian vein, by neck incision 34501 Valvuloplasty, femoral vein 34510 Venous valve transposition, any vein donor 34520 Cross-over vein graft to venous system 34530 Saphenopopliteal vein anastomosis 35011 Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision 35045 Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery 35180 Repair, congenital arteriovenous fistula; head and neck 35184 Repair, congenital arteriovenous fistula; extremities 35190 Repair, acquired or traumatic arteriovenous fistula; extremities 35201 Repair blood vessel, direct; neck 35206 Repair blood vessel, direct; upper extremity 35226 Repair blood vessel, direct; lower extremity 35231 Repair blood vessel with vein graft; neck 35236 Repair blood vessel with vein graft; upper extremity 35256 Repair blood vessel with vein graft; lower extremity 35261 Repair blood vessel with graft other than vein; neck 35266 Repair blood vessel with graft other than vein; upper extremity 35286 Repair blood vessel with graft other than vein; lower extremity 35321 Thromboendarterectomy, including patch graft, if performed; axillary-brachial 35860 Exploration for postoperative hemorrhage, thrombosis or infection; extremity 35879 Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty 35881 Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition 35883 Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, dacron, eptfe, bovine pericardium) 35884 Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft 35903 Excision of infected graft; extremity 36460 Transfusion, intrauterine, fetal 36838 Distal revascularization and interval ligation (dril), upper extremity hemodialysis access (steal syndrome) 37183 Revision of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation) 37191 Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed 37192 Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed 37193 Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed 37195 Thrombolysis, cerebral, by intravenous infusion 37213 Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; 37214 Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method 37244 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation 37565 Ligation, internal jugular vein 37600 Ligation; external carotid artery 37605 Ligation; internal or common carotid artery 37606 Ligation; internal or common carotid artery, with gradual occlusion, as with selverstone or crutchfield clamp 37615 Ligation, major artery (eg, post-traumatic, rupture); neck 37619 Ligation of inferior vena cava 38120 Laparoscopy, surgical, splenectomy 38207 Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage 38208 Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor 38209 Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor 38210 Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, t-cell depletion 38211 Transplant preparation of hematopoietic progenitor cells; tumor cell depletion 38212 Transplant preparation of hematopoietic progenitor cells; red blood cell removal 38213 Transplant preparation of hematopoietic progenitor cells; platelet depletion 38214 Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion 38215 Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer 38240 Hematopoietic progenitor cell (hpc); allogeneic transplantation per donor 38531 Biopsy or excision of lymph node(s); open, inguinofemoral node(s) 38720 Cervical lymphadenectomy (complete) 39401 Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed 39402 Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) 42842 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure 42844 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) 43020 Esophagotomy, cervical approach, with removal of foreign body 43280 Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) 43281 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh 43282 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh 43420 Closure of esophagostomy or fistula; cervical approach 43510 Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, celestin or mousseaux-barbin) 43647 Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum 43648 Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum 43651 Laparoscopy, surgical; transection of vagus nerves, truncal 43652 Laparoscopy, surgical; transection of vagus nerves, selective or highly selective 43770 Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) 43772 Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only 43773 Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only 43774 Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components 43830 Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) 43831 Gastrostomy, open; neonatal, for feeding 44180 Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) 44186 Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) 44950 Appendectomy; 44955 Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (list separately in addition to code for primary procedure) 44970 Laparoscopy, surgical, appendectomy 47370 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency 47371 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical 47490 Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation 49185 Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed 49323 Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity 49405 Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous 49491 Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible 49492 Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated 50020 Drainage of perirenal or renal abscess, open 50541 Laparoscopy, surgical; ablation of renal cysts 50542 Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed 50543 Laparoscopy, surgical; partial nephrectomy 50544 Laparoscopy, surgical; pyeloplasty 50945 Laparoscopy, surgical; ureterolithotomy 51060 Transvesical ureterolithotomy 51845 Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, stamey, raz, modified pereyra) 51860 Cystorrhaphy, suture of bladder wound, injury or rupture; simple 51990 Laparoscopy, surgical; urethral suspension for stress incontinence 53500 Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) 54332 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap 54336 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap 54411 Removal and replacement of all components of a multicomponent inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue 54417 Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue 54535 Orchiectomy, radical, for tumor; with abdominal exploration 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed 55970 Intersex surgery; male to female 55980 Intersex surgery; female to male 57106 Vaginectomy, partial removal of vaginal wall; 57107 Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) 57109 Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) 57284 Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach 57285 Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach 57292 Construction of artificial vagina; with graf 57330 Closure of vesicovaginal fistula; transvesical and vaginal approach 57335 Vaginoplasty for intersex state 57423 Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach 57555 Excision of cervical stump, vaginal approach; with anterior and/or posterior repair 58263 Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele 58270 Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele 58290 Vaginal hysterectomy, for uterus greater than 250 g; 58291 Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) 58292 Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele 58294 Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele 58770 Salpingostomy (salpingoneostomy) 58920 Wedge resection or bisection of ovary, unilateral or bilateral 58925 Ovarian cystectomy, unilateral or bilatera 59030 Fetal scalp blood sampling 59409 Vaginal delivery only (with or without episiotomy and/or forceps); 59612 Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); 60252 Thyroidectomy, total or subtotal for malignancy; with limited neck dissection 60260 Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid 60271 Thyroidectomy, including substernal thyroid; cervical approach 60502 Parathyroidectomy or exploration of parathyroid(s); reexploration 60520 Thymectomy, partial or total; transcervical approach (separate procedure) 61623 Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion 61626 Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch) 61720 Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus 62000 Elevation of depressed skull fracture; simple, extradural 62351 Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy 63011 Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral 63012 Laminectomy with removal of abnormal facets and/or pars interarticularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (gill type procedure) 63015 Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical 63016 Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic 63017 Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar 63035 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure) 63040 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical 63043 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace (list separately in addition to code for primary procedure) 63048 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (list separately in addition to code for primary procedure) 63057 Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (list separately in addition to code for primary procedure) 63064 Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment 63066 Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (list separately in addition to code for primary procedure) 63075 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace 63076 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (list separately in addition to code for primary procedure) 63741 Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy 64804 Sympathectomy, cervicothoracic 64911 Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve 69725 Decompression facial nerve, intratemporal; including medial to geniculate ganglion 69955 Total facial nerve decompression and/or repair (may include graft) 69960 Decompression internal auditory canal 69970 Removal of tumor, temporal bone C9602 Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch C9603 Percutaneous transluminal coronary atherectomy, with drugeluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) C9604 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel C9605 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) C9607 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel C9608 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) C9751 Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s) C9758 Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study 0184T Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, tems), including muscularis propria (ie, full thickness) 0221T Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar 0267T Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) 0312T Vagus nerve blocking therapy (morbid obesity); laparoscopic implantation of neurostimulator electrode array, anterior and posterior vagal trunks adjacent to esophagogastric junction (egj), with implantation of pulse generator, includes programming 0453T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; mechano-electrical skin interface 0454T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; subcutaneous electrode 0457T Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface 0458T Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode 0460T Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode 0505T Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed, with crossing of the occlusive lesion in an extraluminal fashion 0515T Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery]) 0516T Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only 0517T Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; pulse generator component(s) (battery and/or transmitter) only 0518T Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing 0519T Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter) 0520T Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter), including placement of a new electrode

The 2022 Hospital Outpatient Prospective Payment System and ASC Payment System finalized Nov. 2 removes 255 procedures from the ASC payable list.

CMS moved the procedures to the ASC payable list in the 2021 Hospital Outpatient Prospective Payment System and ASC Payment System final rule, but then reversed its decision for 2022.

"This final rule contains some modest improvements since the proposed rule, but we are disappointed that the agency finalized a decision to reduce beneficiary access to ASCs for a number of important procedures that were added just a year ago, despite CMS having little to no clinical data to use as a basis for removing them from our payable list," said Bill Prentice, Ambulatory Surgery Center Association CEO, in a statement.

He went on to say, "We hope that we can work with the Biden administration in 2022 to make significant, constructive changes to the program so that more Medicare beneficiaries can get care in the ASC setting for the many additional procedures that can be safely performed in ASCs."

Here is a list of the procedure codes that would be removed from the ASC payable list.

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