5160-4-23 Covered ambulatory surgery center (ASC) surgical procedures.

(A) A physician may be reimbursed for all covered surgical procedures performed in an ambulatory surgery center (ASC) regardless of whether the surgery is a covered ASC surgical procedure.

(B) An ASC will be reimbursed a facility fee for only covered ASC surgical procedures designated as ASC procedures in appendix DD of rule 5101:3-1-60 to the Administrative Code.

(C) A physician may be reimbursed for the professional component of a covered laboratory, radiology, diagnostic, or therapeutic service only if the physician personally performed the service and the service was not performed by an employee of the ASC in the ASC.

Effective: 07/01/2009
R.C. 119.032 review dates: 02/11/2009 and 07/01/2014
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01, 5111.02, 5111.021
Prior Effective Dates: 9/1/89, 12/29/95 (Emer), 3/21/96, 1/1/01