New CPT codes to cover programming of Argus II retinal prosthesis system
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The American Medical Association Current Procedural Terminology Editorial Panel approved two new Category III CPT codes for programming the Argus II retinal prosthesis system, Second Sight Medical Products announced in a press release.
In addition, CMS finalized its 2017 Medicare hospital outpatient payment rate of $150,000.50, which includes the cost of the Argus II.
Clinicians will be able to use the new CPT codes to report and bill for custom programming and reprogramming of the Argus II. They will be published on Jan. 1, 2017, and can be reported by clinicians beginning July 1, 2017. A CPT code already exists for the implantation procedure.
“With the AMA CPT Editorial Panel’s approval of the two new CPT codes, the billing process is simplified,” Will McGuire, president and CEO of Second Sight, said in the release. “In addition, with CMS’ announcement of the 2017 hospital outpatient payment rate, the hospitals will be more appropriately reimbursed for providing this important service to blind [retinitis pigmentosa] patients.”