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Renovations will begin at the Commission offices on Tuesday, January 20, 2026. Please contact the Commission if accessibility accommodations are needed. Thank you for your patience while we improve our workspace. 

Advisory Notice: Payment Methods for Commission Fines, Fees, and Penalties. The full advisory may be accessed here.

 

Advisory Notice: The South Carolina Workers’ Compensation Commission will hold a Medical Services Provider Manual (MSPM) work session on Monday, March 9, 2026, at 10:00am in the 5th Floor Commissioner’s Conference Room. The session will also be broadcast via Zoom. The Zoom link and the agenda are attached to the advisory link here.

 

Advisory Notice: 2026 updated courtroom and hearing preferences for Commissioner Michael Campbell. 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%.

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.