Medicare ASC payments for total joint replacements to grow in 2025

CMS’ ASC reimbursements are expected to increase this year for several procedures including orthopedic care, according to VMG’s “ASCs in 2024: A Year in Review” report.

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Total hip arthroplasty (CPT code 27130) ASC reimbursements are expected to grow 3% in 2025 year over year. Total knee arthroplasty (CPT code 27447) is also expected to see a 3% bump in Medicare payments year over year.

CMS projected overall ASC payments to increase to about $7.4 billion, the report said.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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