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CMS Proposes Permanent Medicare Payment for VisionCare's Telescope Implant for Macular Degeneration
Date:7/9/2013

SARATOGA, Calif., July 9, 2013 /PRNewswire/ -- VisionCare Ophthalmic Technologies, Inc., today announced the Centers for Medicare and Medicaid Services (CMS) has proposed to provide reimbursement for VisionCare's Implantable Miniature Telescope (by Dr. Isaac Lipshitz), the first FDA-approved ophthalmic telescope implant indicated to improve vision in patients with end-stage age-related macular degeneration (AMD), in 2014. The announcement was included as part of CMS' CY 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payment System proposed rule.

According to the proposal, CMS would assign the telescope implant procedure (CPT® code* 0308T) to a new Ambulatory Payment Classification (APC) 0351, Level VII Anterior Segment Eye Procedures, with mean cost calculated using claims data available for the final rule. If finalized, the new APC would be effective January 1, 2014.

"We are encouraged by CMS' proposal to create a new clinical APC for the telescope implant procedure beginning in January 2014 to solidify patient access," said Allen W. Hill, CEO of VisionCare, "Over the course of the last year, VisionCare has provided important data to CMS on the cost and use of the device to treat patients with severe vision loss due to end-stage AMD." 

At present, the telescope implant procedure is reimbursed under a transitional pass-through payment mechanism that will expire on December 31, 2013.  VisionCare is continuing to analyze this proposal and intends to submit comments to CMS as part of the rate-setting process.

About the CentraSight Treatment Program

The first-of-kind telescope implant is integral to a new patient care program, CentraSight, for patients with end-stage macular degeneration. The CentraSight treatment program involv
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SOURCE VisionCare Ophthalmic Technologies, Inc.
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