Lexology January 23, 2026
Reed Smith LLP

The landscape for office-based labs (“OBLs”) continues to evolve rapidly, creating significant opportunities for interventional radiologists (“IRs”) and other procedural specialists. While recent updates to the Ambulatory Surgical Center (“ASC”) Covered Procedures List might seem to favor ASCs, these changes represent a strategic opportunity for OBLs.

In this article we will explore the history of Medicare payment policies that differentiated between office and facility-based procedures and explain why the latest rules create a promising future for growth in the OBL sector, particularly as to those procedures that relate to interventional radiology services.

The performance of procedures in an office setting is a longstanding practice, shaped by the evolving legal framework primarily from the Centers for Medicare & Medicaid Services (“CMS”),...

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