Becker's Healthcare December 3, 2025
CMS is moving a major share of complex procedures out of the inpatient-only bucket and into outpatient settings, a shift ASC leaders say could accelerate industry growth, especially in spine, orthopedics and cardiology.
In the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule, published Nov. 21, CMS finalized a three-year phaseout of the inpatient-only list and will remove 285 primarily musculoskeletal procedures from the list in 2026.
“These new codes will empower our existing physician specialties to deliver high-quality care directly within our center, rather than in hospital outpatient department, or other traditional hospital healthcare settings,” John Petroni, managing partner of Las Vegas-based Silver State Surgery Center, told Becker’s. “This pivotal change not only enhances...
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