Which Surgeries Are Suited for Off-Site Centers? (washingtonpost.com)

Posted by Clark Venable on 12/21/2004

Washington Post:Which Surgeries Are Suited for Off-Site Centers?

" "The Center for Medicare and Medicaid Services (CMS) authorizes reimbursement for some 2,500 procedures -- from cataract surgery to breast reduction -- at ASCs. Last month , it revised the list of approved procedures, adding 25, including knee arthroscopy, chin reconstruction and bladder repair, and deleting 105.

Among the items deleted as too risky: muscle and skin grafts, reconstructive cleft palate surgery, excision of the parotid gland, draining ovarian abscesses, repair of facial nerves and eardrum revision." "

The above references list of covered procedures was published at the Federal Register on November 26, 2004 (thank you, Google).

The WaPo article also makes reference to a paper by Fleisher titled: Inpatient Hospital Admission and Death After Outpatient Surgery in Elderly Patients. It concludes:

" "In multivariate models, more advanced age, prior inpatient hospital admission within 6 months, surgical performance at a physician's office or outpatient hospital, and invasiveness of surgery identified those patients who were at increased risk of inpatient hospital admission or death within 7 days of surgery at an outpatient facility." "

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