Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 26 - AMBULATORY SURGICAL CENTER (ASC) SERVICES
Section 471-26-002 - Covered ASC Procedures

Current through September 17, 2024

NMAP covers ASC facility services performed in connection with procedures on the list of covered ASC procedures in 471-000-409, state defined ASC Services code(s). These procedures are organized in several groups that refer to the facility payment amount available for each group. The ASC receives the same payment for each procedure within a particular group.

The list of covered ASC procedures indicates which procedures may be covered if performed in an ASC; NMAP does not require that these procedures must be performed in an ASC. The general rules regarding the medical necessity of a specific procedure for a specific client apply to ASC services as they do to all other services covered by NMAP.

Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.