Reminders and Updates

Fee Schedule Maintenance for Ambulatory Surgical Centers

January 8, 2026
 

LifeWise Health Plan of Washington 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.

Updated Codes

See the new CMS ASC codes for October 2025. Don’t forget to check your compensation agreement for reimbursement details.

New HCPCS Codes for ASC Setting

C8006 A2036 A2037 A2038 A2039 A9616 C1741 C1742 C9305 C9306
J0458 J0614 J0668 J0675 J0681 J0738 J0752 J0759 J1612 J1807
J1809 J1834 J3403 J7173 J7174 J9011 Q0235 Q4383 Q4384 Q4385
Q4386 Q4387 Q4388 Q4389 Q4390 Q4391 Q4392 Q4393 Q4394 Q4395
Q4396 Q4397 Q5154 Q5155 Q5156 Q5157 Q5158 Q5159

Explore More

Find more information on the CMS site ASC Payment Rates – Addenda | CMS (October 2025 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.