ASC services do not include items and services for which payment may be made under other provisions. Ambulatory surgical center services do not include:
• Physician services
• Lab and x-ray not directly related to the surgical procedure
• Diagnostic procedures (other than those directly related to performance of the surgical procedure)
• Prosthetic devices (except intraocular lens implant)
• Ambulance services
• Leg, arm, back, and neck braces
• Artificial limbs
• Durable medical equipment for use in the patient's home
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