(a) To be covered under 7 AAC 105 - 7 AAC 160, ambulatory surgical center services must be
- (1) preventive, diagnostic, therapeutic, rehabilitative, or palliative;
- (2) directly related to a surgical procedure provided to an outpatient by or under the direction of a physician or dentist;
- (3) provided in an ambulatory surgical center; and
- (4) listed in the Ambulatory Surgical Centers (ACS) Approved HCPCS Codes and Payment Rates, adopted by reference in 7 AAC 160.900.
- (b) The department will pay for use of the ambulatory surgical center to perform dental services covered by the department under 7 AAC 110.145 - 7 AAC 110.155, if use of the center is medically necessary.
- (c) An ambulatory surgical center may not provide overnight services.
- (d) An ambulatory surgical center must submit a claim to the department for services provided by the ambulatory surgical center separately from submitting a claim to the department for the services of physicians, anesthesiologists, radiologists, and dentists.
(Eff. 2/1/2010, Register 193; am 8/25/2010, Register 195; am 12/1/2022, Register 244)
Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040