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Specialties

Where the cases are going. Volume, payment, and migration signals across ortho, GI, ophthalmology, cardiology, spine, and pain.

Edited by Brent Reilly · 2 reporters · Updated continuously
Type
Window
  1. Analysis Jun 15
    The cardiology societies signed off on ASC ablation — and that's the part that de-risks the build

    A July 29, 2025 HRS comment letter told CMS that same-day-discharge ablation is safe in appropriately selected patients — the endorsement that lets an electrophysiologist clear a medical-staff and payer review before the first $20,256 case.

    Why it matters: An operator weighing an EP line now has a primary-source society endorsement to cite against medical-staff and payer objections — the soft barrier that usually kills new ASC service lines before the capital question is even reached.
  2. Brief Jun 15
    Lumbar fusion codes 22630 and 22633 land on the ASC list for 2026 — five years after CMS first opened, then shut, the door

    The CY2026 final rule adds posterior lumbar interbody fusion (22630) and combined PLIF (22633) to the ASC covered-procedures list — instrumented spine work CMS first cleared toward outpatient settings in 2021 and walked back in 2022.

    Why it matters: Spine-heavy centers can now bill Medicare for instrumented lumbar fusion — a far higher-revenue, higher-implant-cost line than the decompressions ASCs already run.
  3. Brief Jun 15
    ChristianaCare puts cath, ablation and device implants into a $9.3M cardiovascular ASC

    A three-way joint venture will build a 9,000-square-foot cardiovascular surgery center in Newark, Delaware, projecting roughly 10,800 outpatient heart and vascular procedures a year in New Castle County by 2029.

    Why it matters: This is one of the first hospital-plus-physician cardiovascular ASCs to name and size the exact procedure mix — including ablation — that CMS opened to surgery centers in the CY2026 final rule, so operators weighing a de novo cardiac center now have a concrete comparable to model against.
  4. Brief Jun 12
    Total joints keep moving: Medicare TKA volume in ASCs rose 27.6% in 2024

    MedPAC's March report counts 49,258 total knee replacements in ASCs in 2024 — up from roughly 10,800 in 2020, the year Medicare first covered the procedure there.

    Why it matters: Joint volume is the highest-revenue migration in the sector — capacity, block time, and payer contracting decisions made this year determine who captures it.