Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-38 - AMBULATORY SURGICAL CENTER SERVICES
Section 560-X-38-.04 - Covered Surgical Procedures
Universal Citation: AL Admin Code R 560-X-38-.04
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Covered surgical procedures are those procedures that meet the following standards:
(a) Those surgical procedures which are
commonly performed on an inpatient basis in hospitals, but may be safely
performed in an ambulatory surgical center setting;
(b) Those surgical procedures which are
limited to those requiring a dedicated operating room and generally requiring a
post-operative recovery room or short-term (not overnight) convalescent room;
and
(c) Those surgical procedures
which are not otherwise excluded under 42 C.F.R. § 405.310 or other
regulatory requirements.
(2) A listing of the covered surgical procedures shall be maintained by the Alabama Medicaid Agency and shall be furnished to all ASCS. This list shall be reviewed and updated on a regular basis by the appropriate staff of the Alabama Medicaid Agency.
Author:
Statutory Authority: 42 C.F.R. §§ 405.310, 416.65.
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