Ambulatory Surgery Center Fee Schedule Maintenance
We’re doing Ambulatory Surgery Center (ASC) fee schedule maintenance to make sure you have the information your practice needs to understand and calculate your reimbursement.
Our ASC fee schedules are updated with newly issued Healthcare Common Procedure Coding System (HCPCS) Level I and II codes on a quarterly basis when the Centers for Medicare and Medicaid Services (CMS) designate those newly issued HCPCS codes to be allowable in an ASC setting.
The new CMS ASC codes for July 2025 are listed below. Please reference your specific compensation agreement for reimbursement of these procedures.
New July 2025 HCPCS Codes Covered in ASC Setting
| 0950T | 0956T | 0957T | 0958T | 0959T | 0960T | 0963T | 0964T | 0965T | 0966T |
| 0967T | 0970T | 0971T | 0973T | 0975T | 0981T | C9174 | C9175 | J1326 | J7172 |
| J9174 | J9220 | J9276 | J9289 | J9342 | J9382 | Q4368 | Q4369 | Q4370 | Q4371 |
| Q4372 | Q4373 | Q4375 | Q4376 | Q4377 | Q4378 | Q4379 | Q4380 | Q4382 | Q5099 |
| Q5100 |
You can also locate information related to this update on the CMS website – ASC Payment Rates. The reference file name is July 2025 ASC Approved HCPCS Code and Payment Rates (updated July 8, 2025).
If you have questions or would like a copy of your fee schedule, please email our Provider Relations team at Provider.Relations@Premera.com.
If you’d like a copy of your contract, please email ProviderContractServices@Premera.com.