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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 416 - Ambulatory Surgical Services |
| Subpart A - General Provisions and Definitions |
| § 416.1 - Basis and scope. |
| § 416.2 - Definitions. |
| Subpart B - General Conditions and Requirements |
| § 416.25 - Basic requirements. |
| § 416.26 - Qualifying for an agreement. |
| § 416.30 - Terms of agreement with CMS. |
| § 416.35 - Termination of agreement. |
| Subpart C - Specific Conditions for Coverage |
| § 416.40 - Condition for coverage - Compliance with State licensure law. |
| § 416.41 - Condition for coverage - Governing body and management. |
| § 416.42 - Condition for coverage - Surgical services. |
| § 416.43 - Conditions for coverage - Quality assessment and performance improvement. |
| § 416.44 - Condition for coverage - Environment. |
| § 416.45 - Condition for coverage - Medical staff. |
| § 416.46 - Condition for coverage - Nursing services. |
| § 416.47 - Condition for coverage - Medical records. |
| § 416.48 - Condition for coverage - Pharmaceutical services. |
| § 416.49 - Condition for coverage - Laboratory and radiologic services. |
| § 416.50 - Condition for coverage - Patient rights. |
| § 416.51 - Conditions for coverage—Infection control. |
| § 416.52 - Conditions for coverage - Patient admission, assessment and discharge. |
| § 416.54 - Condition for coverage - Emergency preparedness. |
| Subpart D - Scope of Benefits for Services Furnished Before January 1, 2008 |
| § 416.60 - General rules. |
| § 416.61 - Scope of facility services. |
| § 416.65 - Covered surgical procedures. |
| § 416.75 - Performance of listed surgical procedures on an inpatient hospital basis. |
| § 416.76 - Applicability. |
| Subpart E - Prospective Payment System for Facility Services Furnished Before January 1, 2008 |
| § 416.120 - Basis for payment. |
| § 416.121 - Applicability. |
| § 416.125 - ASC facility services payment rate. |
| § 416.130 - Publication of revised payment methodologies. |
| § 416.140 - Surveys. |
| § 416.150 - Beneficiary appeals. |
| Subpart F - Coverage, Scope of ASC Services, and Prospective Payment System for ASC Services Furnished on or After January 1, 2008 |
| § 416.160 - Basis and scope. |
| § 416.161 - Applicability of this subpart. |
| § 416.163 - General rules. |
| § 416.164 - Scope of ASC services. |
| § 416.166 - Covered surgical procedures. |
| § 416.167 - Basis of payment. |
| § 416.171 - Determination of payment rates for ASC services. |
| § 416.172 - Adjustments to national payment rates. |
| § 416.173 - Publication of revised payment methodologies and payment rates. |
| § 416.174 - xxx |
| § 416.178 - Limitations on administrative and judicial review. |
| § 416.179 - Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received. |
| Subpart G - Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Service Centers |
| § 416.180 - Basis and scope. |
| § 416.185 - Process for establishing a new class of new technology IOLs. |
| § 416.190 - Request for review of payment amount. |
| § 416.195 - Determination of membership in new classes of new technology IOLs. |
| § 416.200 - Payment adjustment. |
| Subpart H - Requirements Under the Ambulatory Surgical Center Quality Reporting (ASCQR) Program |
| § 416.300 - Basis and scope of subpart. |
| § 416.305 - Participation and withdrawal requirements under the ASCQR Program. |
| § 416.310 - Data collection and submission requirements under the ASCQR Program. |
| § 416.315 - Public reporting of data under the ASCQR Program. |
| § 416.320 - Retention and removal of quality measures under the ASCQR Program. |
| § 416.325 - Measure maintenance under the ASCQR Program. |
| § 416.330 - Reconsiderations under the ASCQR Program. |