CMS revises reimbursement for in-office BPH procedure
Laserscope, San Jose, CA, has announced that the Centers for Medicare & Medicaid Services has published a technical revision to the 2006 Medicare physician few schedule.
Laserscope, San Jose, CA, has announced that the Centers for Medicare & Medicaid Services has published a technical revision to the 2006 Medicare physician few schedule, and under the revision, the CPT code 52648 was assigned non-facility relative value units for performing the company's photoselective vaporization of the prostate (PVP) procedure for BPH treatment in an appropriately equipped office setting. The reimbursement rate for the office-based procedure code was set at a national average of approximately $3,100 effective Jan. 1, the company said.
Previously, the code only provided reimbursement for PVP procedures performed in a hospital setting.
Potential code for prior authorizations on AMA CPT Editorial Panel meeting agenda
March 28th 2024"Good public and economic policy must align costs, benefits, and incentives; currently, all costs are incurred by physician practices, and all financial savings and benefits from prior authorization accrue to health insurance plans, leading to perverse incentives,” says Alex Shteynshlyuger, MD.
