Links to ASC and Health Industry Resources

Texas Department of State Health Services (DSHS) ASC Licensing Rules

Title 25 Chapter 135 contains the Texas Department of State Health Service rules and regulations governing ambulatory surgery centers in Texas. The rules specify the requirements for operations, fire prevention, safety, physical plant and construction requirements for Texas ASCs.

Medicare ASC Regulations

Title 42 of the Code of Federal Regulations (42CFR Part 416) contains the rules and regulations governing Medicare certified ambulatory surgery centers.

Texas ASC Licensing Act

The Texas Ambulatory Surgical Center Licensing Act, Health and Safety Code Chapter 243, is the statute requiring all Texas surgery centers to be licensed. This statute relies on Chapter 135 to implement and establish minimum standards for Texas ASCs.

Medicare ASC Approved Procedures List

The Medicare Approved ASC Procedures list Excel file includes all outpatient surgeries that Medicare has approved to be performed in an ambulatory surgical center. The file also has a tab with the list of procedures that Medicare will not pay for in an ASC.

2013 MedPAC Report to Congress

The Medicare Payment Advisory Commission prepares a report on the health care industry used a guide by Congress in determining policy affecting all health care providers, including ASCs. The section on Ambulatory Surgery Centers is in Chapter 5, page 105.

Texas DSHS Surgery Center Annual Report and Incident Report Forms

The Texas Department of State Health Services web page for ASCs contains the forms that Texas surgery centers are required to file with DSHS including the annual report form and incident report form.

CMS State Operations Manual

The State Operations Manual is a document that Medicare ASC surveyors refer to when interpreting CMS rules and regulations (42CFR Part 416).

CMS Infection Control Surveyor Worksheet

The CMS ASC infection control surveyor's worksheet is a document that facility surveyors use to assess surgery center compliance with Medicare infection control guidelines.

QualityNet Materials

A summary page of ASC reporting start dates is available and the QualityNet list server will automatically email alerts, updates and other communications relating to the web-based quality measures reporting system. The QualityNet specifications manual is updated from time to time and version 3.0a is now available.

AORN Safe Surgery Checklist

The sample safe surgery checklist form is made available by the Association of periOperative Registered Nurses (AORN) and can be used to meet the QualityNet web-based quality reporting requirements.


The U.S. Department of Health and Human Services has a page dedicated to the complete set of HIPAA privacy rules and has also produced a document with the Combined HIPAA Regulation Text which provides all the HIPAA regulatory standards in one document.

2014 Medicare ASC Final Payment Rule

Medicare's 2014 Final Payment Rule Excel worksheet contains the complete list of covered, non-covered and bundled procedure codes for ambulatory surgical center reimbursement.

Texas Workers' Compensation Ambulatory Surgical Center Fee Guidelines

Calendar Year 2015 Guidelines and FAQs for ASCs from TDI Division of Workers' Compensation