471 Neb. Admin. Code, ch. 26, § 002
Current through June 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.
471 Neb. Admin. Code, ch. 26, § 002