ASC Services Not Included in the Facility Payment.

Facility payments for ASCs do not include the following services which may be paid separately:
 •    Professional services including physicians;
 •    Laboratory services;
 •    X-ray or diagnostic procedures other than those directly related to the performance of the surgical procedure;
 •    Prosthetics and implants except intraocular lenses;
 •    Ambulance services;
 •    Leg, arm, back and neck braces;
 •    Artificial limbs; and
 •    DME for use in the patient’s home.