Fee Schedule Maintenance for Ambulatory Surgical Centers
Premera Blue Cross updates ambulatory surgical center (ASC) fee schedules every quarter. Updates include new Healthcare Common Procedure Coding System (HCPCS) Level I and II codes, approved by the Centers for Medicare and Medicaid Services (CMS) for ASC settings. Here’s what you need to calculate reimbursement.
What’s changing
See the new CMS ASC codes for April 2026. Don’t forget to check your compensation agreement for reimbursement details.
New April 2026 HCPCS Codes Covered in ASC Setting
| C8010 | G0681 | G0682 | G0683 | G0684 | A2040 | A2041 | A2042 | A2043 | A2044 |
| A2045 | C1743 | C9818* | J0463 | J1098 | J1164 | J1553 | J8502 | J9183 | J9277 |
| J9278 | J9601 | Q0238 | Q4418 | Q4419 | Q4421 | Q4422 | Q4423 | Q4424 | Q4425 |
| Q4426 | Q4427 | Q4428 | Q4429 | Q4435 | Q4436 | Q4437 | Q4438 | Q4439 | Q4440 |
| Q5162 |
*C9818 was effective January 23, 2026.
Explore more
Find more information on the CMS site ASC Payment Rates – Addenda | CMS (April 2026 ASC Approved HCPCS Code and Payment Rates).
Questions or need your fee schedule? Email Provider Relations. Need a copy of your contract? Email Provider Contract Services.