Industry News — Clinical Updates

Medicare Approves Argus II for New Technology Add-On and Transitional Pass-Through Payments

Second Sight Medical Products, Inc. (Symlar, CA) has announced that the Argus® II Retinal Prosthesis System has been approved by the Centers for Medicare and Medicaid Services (CMS) for both a new technology add-on payment (inpatient setting of care) and a transitional pass-through payment (outpatient setting of care), beginning October 1, 2013.  These payments are designed to support timely access to innovative technologies for Medicare beneficiaries.

Cases involving the Argus II System that are eligible for new technology add-on payments under the Medicare Inpatient Prospective Payment System will be identified by a new ICD-9-CM procedure code 14.81.  The transitional pass-through payment will be available to all hospital outpatient facilities and ambulatory surgical centers (ASCs) that perform this procedure for Medicare beneficiaries and will be identified by the 0100T CPT  code.  

Guideline information on billing, coding, and payment for hospital outpatient departments and ASCs will be provided by CMS in its October quarterly update, which will be released on or before September 1. 

Read more about the Argus II Retinal Prosthesis System in Retina Times.

Posted August 15, 2013