Ambulatory surgery center (ASC)

Licensed freestanding facility, other than a physician’s office, at which outpatient medical services are provided on an ambulatory basis (e.g., diagnosis, treatment, same-day surgery, rehabilitation). ASCs are hospital based (or sponsored) or independently owned (or sponsored). Surgery of an uncomplicated nature that traditionally was done on an inpatient basis but can be performed with equal efficiency without hospital admission is now being done in an ASC. To receive payment for Medicare patients, the facility must have an agreement with the Centers for Medicare and Medicaid Services (CMS) and meet specific requirements. ASCs are paid according to nine different payment groups based only on their cost similarities. Also called surgicenter or ambulatory surgical center.

Ambulatory visit groups (AVGs)

AVGs were replaced by ambulatory patient groups (APGs) as an outpatient classification system by Health Systems International (HSI). Then ambulatory surgery categories (ASCs) were adopted, replacing APGs for outpatient or 1-day surgery cases that were derived from the surgery section of the CPT. Later this was replaced by the ambulatory payment classification (APC) system.