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Commission offices will be closed on Monday, May 25, 2026, in observance of the Memorial Day Holiday. All offices will reopen on Tuesday, May 26, 2026, during regular business hours.

House Bill 3874 was enacted on May 18, 2026. The bill amends S.C. Code Ann. Section 42-15-90 and changes Commission requirements relating to the administration of the medical fee schedule . The full advisory may be accessed here. 

 

The Commission announces Ms. Francina Johnson as the 2026 Employee of the Year! The full advisory may be accessed here. 

Ambulatory Surgical Center

Effective April 15, 2013, the Maximum Allowable Payment (MAP) for procedures performed in an Ambulatory Surgery Center will be calculated at 140% of the Medicare Payment for procedures plus the total cost of all surgical implants per case with Revenue Codes 274, 276, and 278 minus a five hundred ($500) implant cost reduction per case.  Ambulatory Surgery Centers are to utilize the “UB04” for all facility billing.

Revision Notice: Commission Amends Fee Schedule for Ambulatory Surgery Centers Surgically Implanted Devices (PDF) Ambulatory Surgery Center Fee Schedule for Surgically Implanted Devices Effective April 15, 2013. 

 

Claims for ambulatory surgery center services are paid at the Medicare national payment rate found at www.cms.gov/ASCPayment plus 40%. The "UB04" Form should be used to request payment for ASC facility charges. 

Note: The multiple procedures rule still applies, and the National Correct Coding Initiative will be utilized in order to determine the appropriate billing of CPT and HCPCS codes.