Changes to the CMS ASC Conditions for Coverage that went into effect in 2009 eliminated the distinction between a sterile surgical room and a non-sterile procedure room. As a result, non-sterile procedure environments, including endoscopy units, are held to the same standards as sterile operating rooms even though requirements for facilities, infection control, staffing and sedation may not be relevant or necessary for endoscopy units. The guidelines contain a summary of issues that have been faced by endoscopy units throughout the country along with the ASGE position and accompanying rationale. Click here to download the guidelines. The guidelines were reviewed by ASCA staff prior to their release and have been endorsed by ASCA.