Ambulatory Surgery Center Fee Schedule - Washington Department ...
Ambulatory Surgery Center Fee Schedule - Washington Department ...
Ambulatory Surgery Center Fee Schedule - Washington Department ...
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DOC ASC <strong>Fee</strong> <strong>Schedule</strong><br />
Effective Dates of Service 7/1/2012 thru 8/31/2012<br />
Refer to the 2012 CPT® and HCPCS coding books for complete code descriptions<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
J0585 $5.40 N<br />
J0586 $7.93 N<br />
J0587 $10.38 N<br />
J0592 Packaged N<br />
J0594 $14.18 N<br />
J0595 Packaged N<br />
J0598 $41.40 N<br />
J0600 $78.86 N<br />
J0610 Packaged N<br />
J0620 Packaged N<br />
J0630 $48.34 N<br />
J0636 Packaged N<br />
J0637 $11.54 N<br />
J0640 Packaged N<br />
J0641 $1.36 N<br />
J0670 Packaged N<br />
J0690 Packaged N<br />
J0692 Packaged N<br />
J0694 Packaged N<br />
J0696 Packaged N<br />
J0697 Packaged N<br />
J0698 Packaged N<br />
J0702 Packaged N<br />
J0704 Packaged N<br />
J0706 Packaged N<br />
J0710 Packaged N<br />
J0713 Packaged N<br />
J0715 Packaged N<br />
J0718 $3.72 N<br />
J0720 Packaged N<br />
J0725 Packaged N<br />
J0735 $110.46 N<br />
J0740 $746.87 N<br />
J0743 Packaged N<br />
J0744 Packaged N<br />
J0745 Packaged N<br />
J0760 Packaged N<br />
J0770 Packaged N<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
J0780 Packaged N<br />
J0795 $4.22 N<br />
J0800 $2,394.31 N<br />
J0833 $64.19 N<br />
J0834 $89.48 N<br />
J0850 $862.24 N<br />
J0878 $0.42 N<br />
J0881 $2.78 N<br />
J0885 $9.36 N<br />
J0894 $28.68 N<br />
J0895 Packaged N<br />
J0900 Packaged N<br />
J0945 $9.24 N<br />
J0970 Packaged N<br />
J1000 Packaged N<br />
J1020 Packaged N<br />
J1030 Packaged N<br />
J1040 Packaged N<br />
J1051 Packaged N<br />
J1060 Packaged N<br />
J1070 Packaged N<br />
J1080 Packaged N<br />
J1094 Packaged N<br />
J1100 Packaged N<br />
J1110 Packaged N<br />
J1120 Packaged N<br />
J1160 Packaged N<br />
J1162 $467.59 N<br />
J1165 Packaged N<br />
J1170 Packaged N<br />
J1180 Packaged N<br />
J1190 $367.10 N<br />
J1200 Packaged N<br />
J1205 $304.91 N<br />
J1212 $68.40 N<br />
J1230 Packaged N<br />
J1240 Packaged N<br />
J1245 Packaged N<br />
CPT® codes only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply<br />
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